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In order to treat acne marks and scars, it's helpful to learn how to distinguish between the two. "What many people don’t realize is that a dark or pink mark on the skin is not actually an acne scar. Inflammation in the skin often leaves behind a stain as part of the natural healing process. The inflammation revs up pigment production, creating the mark that fades on its own over several weeks to months," says dermatologist and 2018 Acne Awards judge Dr. Joshua Zeichner. Unlike scars, these are smooth to the touch (AKA, not raised or indented), and signify that there is no permanent collagen damage to the skin.
Consider cosmetic surgery. As a last resort, consult with a medical professional about surgery for large, deep lesions or scars. In this procedure, a doctor will use a punch excision to cut out the scar and replace it with stitching or a skin graft. Smaller lesions require only stitching, while large lesions may require a skin graft from another part of your body.
The two laser treatment options above are great for acne scar removal, but aren't generally recommended as acne treatment. If you're still experiencing active acne breakouts and wondering how to get rid of acne with laser treatments, check out photodynamic therapy. It combats active moderate to severe acne while also diminishing older acne scars by using light energy to activate a powerful acne-fighting solution. Patients may require 2 or 3 treatments over several weeks and should expect some redness, peeling, and sun sensitivity. This treatment will cost between $2000 to $3500 per series.
Since lemon juice has a pH of 2 and skin's pH is 4.0-7.0, this method needs to be used carefully. If left on too long, or not diluted this can lead to significant chemical burns. Citrus juices also contains a chemical called Bergapten, which binds to DNA and allows UV radiation to damage skin more easily, so you need to watch your sun exposure if you have any citrus juice on your skin. Rinse it off before going into the sun, and wear sunscreen.
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If you have this, you’re not alone – it can affect many people! Like face acne, bacne can form when your pores get clogged by excess oil and dead skin cells, allowing bacteria to grow. Sometimes, wearing tight clothes and using heavy backpacks can irritate the skin and make bacne worse. You can treat it the same way you would treat acne on your face.
Acne scars take many different forms. You might see tiny pockmarks, a swollen keloid, or a discolored area on the skin. And just like the types of scars vary, there isn't a one-size-fits-all fix. Your dermatologist can use a combination of treatments including lasers, chemical peels, or fillers to minimize the spots. "Once there is scarring you can't get the skin back to the way it was before," says Dr. Karolak. "But we can get it to look significantly better, so that [clients] feel more comfortable in social environments."
"I have terrible cystic acne but I don't want to take prescription medication!" she whines. Puh-leeze! You are given treatment, have access to products other than cleansers, but won't use them. This is a ridiculous article. I cleared my skin with soap, water, alcohol, and a complete dietary adjustment. Zero sugar, starch, breads, oils, fried and processed foods. I eat broccoli, greens (lots of greens), steamed and poached veggies, broiled or canned salmon, tofu, quinoa, brown rice, half a lemon a day over food or in unsweetened green tea, and blueberries. Someone else mentioned the sugar/insulin/hormonal imbalance link. You have to take responsibility for your lifestyle, as well as your treatment.
Other concerns include inflammatory bowel disease and the risk of depression and suicide in patients taking isotretinoin. Recent evidence seems to indicate that these problems are exceedingly rare. Government oversight has resulted in a highly publicized and very burdensome national registration system for those taking the drug. This has reinforced concerns in many patients and their families have that isotretinoin is dangerous. In fact, large-scale studies so far have shown no convincing evidence of increased risk for those taking isotretinoin compared with the general population. It is important for those taking this drug to report changes in mood or bowel habits (or any other symptoms) to their doctors. Even patients who are being treated for depression are not barred from taking isotretinoin, whose striking success often improves the mood and outlook of patients with severe disease.
"Crushed aspirin, combined with a little bit of water, removes excess oil and exfoliates the skin," says Dr. Bank."Aspirin itself contains a salicylic acid in it which help dissolve dead skin and help reduce the possibility of clogged pores. It will help to dry out any acne lesion, and it also helps the redness and swelling that are often associated with pimples."
Scars that are indented aren't going to go away on their own and most likely need professional treatment. Talk to your derm about laser options, as well as subcision and microneedling—all proven methods to get rid of scarring. But those brown spots left behind once a zit goes away? You can treat them at home if you're diligent. Dr. Schultz says you have to stick to a regimen of daily sunscreen use, exfoliation, and application of a bleaching product that will help remove the excess pigmentation in the skin. Try Murad Rapid Age Spot and Pigment Lightening Serum.
Even if you have amazing willpower—like the willpower of a Girl Scout with a full inventory of Thin Mints under her bed—and never, ever mess with your acne, you can still scar. "Acne scars result from damage to the skin following repeated inflammation from acne cysts," says Judith Hellman, M.D., a board-certified dermatologist in New York City. "Pimple popping can make the process worse, but acne can cause scarring even without pimple popping."
"If you occupy the area [under the skin] with a cyst, it destroys fat around it. Once the cyst goes away, the loss causes indentation," Dr. Karolak explains. A boxcar scar is a depression that has hidden scar tissue, which acts like an accordion pulling the scar downward. Subsicion is one solution for these deeper scars. Subsicion uses a sharp needle to go under the surface and break up that scar tissue. Then, you can fill it in with fillers made specifically for acne scars like Bellafill. Or you can do a fat transfer. "One of my favorite treatments for volume loss is fat transfer, which allows me to take inject a patient's own body fat instead of synthetic filler," says Dr. Karolak. Another treatment for boxcar scars is punch excision where the indented area of the scar is removed and the edges are pulled together with a suture. These treatments are often followed up with a collagen-boosting laser treatment.
The birth control pill is another option for women suffering hormonal acne. Four types of birth control pills have been approved by the FDA for use as acne treatment, and all four are combination pills that contain both estrogen and progesterone. Talk to your doctor about how to get rid of acne using birth control and keep in mind that Ortho Tri-cyclen, Estrostep YAZ and Beyaz are the only four brands specifically FDA approved as acne remedies.
With its natural inflammation-fighting properties, a 5 percent solution of tea tree oil is less harsh than a 5 percent benzoyl peroxide solution and can be just as effective against acne, though it may clear up a little less quickly. Mix a few drops of tea tree oil with between 20 and 40 drops of witch hazel, then use a cotton swab to apply. Try this remedy up to twice a day; more could dry your skin and make the acne worse.
As far as combination scars go, Dr. Levine’s go-to acne scar treatment for combination-type scars include a series of treatments with picosecond lasers such as the Picosure or use of the FRAX 1550* Fractional non-ablative laser. “These are newer technologies, and they have less downtime than older lasers, so for me this means I can be more aggressive and see results with fewer treatments.” Older ablative lasers blast off the skin’s top layers, which requires significant downtime, but these newer non-ablative lasers pass through the skin’s upper layers to harmlessly heat the deeper tissues, stimulating collagen and smoothing the scar’s appearance.
"Acne scars are very challenging to treat and are even more challenging to treat once they've been given time to age," says Joel Schlessinger, M.D., a board-certified dermatologist in Omaha, Nebraska. Although he says the best option is prevention (but if you just can't resist popping your pimples, do it the doctor-approved way!), there are ways to treat acne scars to drastically reduce their appearance.