Atrophic depressed facial scars can be effectively treated with hyaluronic acid fillers with esthetically satisfactory clinical outcome with a low risk or complications.
Soft tissue fillers.
Injecting collagen, fat or other substances under the skin can plump the skin over indented scars. The goal is to make the scars less noticeable. Results are temporary, so repeat treatments are needed to retain the effect. This method has little risk of changes in skin color.
While Bellafill is the only FDA approved injectable filler for the long-term correction of acne scars, other fillers such as Juvederm, Radiesse, Belotereo, Retylane or Sculptra may be used. These typically will need to be injected every few months to maintain their effect.
Chemical peels (e.g., Illuminize Peels, Vitalize Peels, Salicylic Acid Peels, and Glycolic Acid Peels) remove dead cells and encourage collagen production around scars, producing smoother-looking skin. Your dermatologist will determine the concentration of peels depending on the severity of your scarring.
Atrophic depressed facial scars can be effectively treated with hyaluronic acid fillers with esthetically satisfactory clinical outcome with a low risk or complications.
While some scars may undergo some level of fading, atrophic scars are particularly stubborn and don't resolve over time.
Answer: Microneedling RF combined with PRP can help indented scar. Our treatments use combination therapy to improve the epidermis and dermis for most deep scars.
Retinol is also found in many acne scar treatment products because it promotes new skin cell growth and helps even out skin texture and skin tone — all of which can help reduce the appearance of newer, red acne scars and older scars.
Depressed (atrophic): These sunken scars often result from chickenpox or acne. They look like rounded pits or small indentations in the skin. Also called ice pick scars, they develop most often on the face. Acne scars may become more noticeable as you age because the skin loses collagen and elasticity over time.
And vitamin C is a key player when it comes to creating collagen. Even though collagen and wounds are usually discussed in the context of repairing fresh injuries, since collagen helps make healthy tissue, it can impact older scars as well and improve their appearance.
For best results, you should perform scar massage for at least 10 minutes, twice a day, for six months. You should only stop sooner than that if the scar starts showing signs of infection or you experience intolerable discomfort.
The filler of choice for filling indented scars is generally a biostimulator to lay down a new layer of fresh collagenous tissue that will continue stimulating your body to create new collagen. Radiesse® and Sculptra® are examples of fillers used to treat acne and other depressed scars.
For scars like these with indentations, fractionated ablative laser treatments provide the most improvement, and less aggressive treatments like microneedling or microinfusion skin stamping can soften the scars' appearance.
It's natural to wonder, “Do indented scars fill in over time?” Unfortunately, these scars won't disappear on their own. Atrophic scars rarely go away completely, but with the help of a dermatology provider, you may be able to successfully reduce their appearance.
It is important to note that salicylic acid cannot completely remove acne scars. Deep scars, such as ice pick scars, may require more aggressive treatments, such as laser therapy or microdermabrasion. However, salicylic acid can help to fade acne scars and make them less noticeable.
Topical retinoids such as trifarotene and fixed combinations of adapalene and benzoyl peroxide may be able to decrease atrophic scars in patients with active acne, according to Linda Stein Gold, MD.
Whether they're from childhood accidents, surgery or illness, some scars will fade over time but it's unlikely they'll completely disappear by themselves. If you're looking to reduce their appearance, you'll need to look into scar treatment. Keloids and sunken acne scars are least likely to fade.
Atrophic Scars: These are indented scars that form when underlying structures supporting the skin, such as fat or muscle, are lost. They are common in conditions like acne or chickenpox. While silicone strips may not be able to fill the indentation, they can help to improve the texture and colour of atrophic scars.