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.
Laser therapy stands at the forefront of indented scar treatment, offering precise and targeted results. Two primary approaches include: Fractional Ablative Laser: Removes damaged skin layers while stimulating natural collagen production. Intense Pulsed Light (IPL): Addresses both scar texture and discoloration.
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.
Atrophic scars.
These are indented scars that happen when your skin heals below the normal layer of skin due to a lack of tissue. They're common in cases of severe acne or chickenpox.
An atrophic scar takes the form of a sunken recess in the skin, which has a pitted appearance. These are caused when underlying structures supporting the skin, such as fat or muscle, are lost.
Boxcar scars appear as craters in the skin and can develop as a result of acne or chickenpox. Treatments are available to reduce their appearance, such as dermarolling, microdermabrasion, and surgery. Boxcar scars are also known as craters or pockmarks.
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.
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.
Pockmarks are deep scars on the skin that do not usually go away on their own. They are often caused by severe acne but can also be the result of skin infections or chickenpox. There are a number of treatments and home remedies that may help reduce the appearance of the scars and improve the look and feel of the skin.
Scar massage is a way of softening and flattening scars. It can stop scar tissue build up and help make scars less noticeable. Your scar or scars will continue to grow and change for about twelve to eighteen months, so the earlier and more regularly you massage your scar, the less the chance of long-term problems.
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.
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.
Atrophic scars rarely go away completely, but with the help of a dermatology provider, you may be able to successfully reduce their appearance. While some at-home treatments may be marginally effective, to truly address these scars, you'll need in-office treatment from a dermatology provider.
Depressed scar
Sunken scars can become more noticeable as you age. This happens when the skin relaxes and sags, causing the depressions to become more noticeable. You're more likely to develop depressed scars after chickenpox or severe acne clears.
An atrophic scar develops when the skin cannot regenerate tissue correctly. Unlike keloids and hypertrophic scars, atrophic scars are indented in appearance due to healing that occurs below the expected layer of skin.
Treatment for the Bends
The diver will need high-flow oxygen and IV fluids. Blood and urine will be sent for laboratory tests to assess any blood clotting problems and hydration status. The diver will likely need to go to a hyperbaric chamber for recompression.
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.
When a wound to the skin heals without enough collagen produced, it can leave behind an indent in the skin. This is called an atrophic scar, which comes in many varieties.
Atrophic scars: This type of scar is generally the result of losing muscle or fat from an of the body, causing the skin to sink. Acne scarring or surgical scars are examples of these.