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.
This is because of abnormal healing of the skin after acne, the haphazard arrangement of scar tissue bands underneath tethering the skin to the underlying tissue to form sunken scars. This type of scarring can only be treated with subcision, which is one of the best procedures for scar correction.
Dermal fillers effectively modify the appearance of pitted acne scars. When injected, hyaluronic acid or collagen-stimulating fillers fill in the depressions in the skin, improving their contours and creating a smoother-looking appearance.
Atrophic scars are the opposite of hypertrophic scars. They are depressed, sunken and often have a pitted appearance.
Scar removal surgery offers a promising solution for those looking to reduce the visibility of old scars. This procedure isn't about erasing every trace of injury but rather improving the appearance of scars so they blend more seamlessly with the surrounding skin.
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.
You cannot get rid of a scar, but most scars fade over time without any treatment. If a scar is more severe or bothering you, a GP may be able to recommend treatments or refer you to a specialist. The aim of treatment is to help improve how the scar looks.
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.
Surgery also can be an option to remove skin tags, moles, keloids, and other scars. Health plans often consider this type of surgery to be medically necessary, so it's typically covered by insurance. Your out-of-pocket costs may include meeting a deductible and copays or coinsurance.
Cocoa butter cream and Vaseline are most often used to help reduce the appearance of scars. Applying the ointment daily will help heal scars but will not make them invisible. Another tip for caring for your scars includes surgery. Surgery will not eliminate the scar but can change its shape or make it less noticeable.
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.
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.
Mederma PM Cream can be used on atrophic scars such as acne and chicken pox scars. Mederma® PM Cream may help to smooth and soften the edges of the pox mark but it will not cause the indented area to fill in. By smoothing the edges, the mark may become less noticeable.
Immediately following wound healing, a scar is usually red in appearance and is referred to as an 'immature' scar. Between 3 months and 2 years the scar should become paler, flatter and softer and can then be referred to as a 'mature' scar.
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.
Mederma gel is designed to tackle a range of scar types including acne scars, burn scars, injury and surgical scars, old scars and more. It contains Cepalin® botanical extract, for old and new scars.
While some scars may undergo some level of fading, atrophic scars are particularly stubborn and don't resolve over time.
Vitamin E may be hailed as a new miracle regarding scar reduction and fading. However, the lack of clinical evidence suggests that using vitamin E for scars is ineffective and, thus, not necessary.
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.