Around 95% of people with acne will develop acne scars. Acne scarring occurs when acne irreversibly damages colour and texture of the skin. The debris within acne spots can rupture through the wall of the follicle and penetrate into the surrounding tissue, causing an inflammatory injury to the cells of the dermis and epidermis. This can lead to skin atrophy (holes), hypertrophy (raised nodules), pigmentation (dark marks) and enlargement of blood vessels (redness). The successful treatment of acne scars involves addressing each of these issues and enabling scarred skin to remodel into healthy, smooth, even-toned skin.
The principle of skin resurfacing is to inflict a controlled injury to the skin; the injured skin then repairs and creates new collagen, elastin and skin hydrators. This process converts scarred skin into healthy skin. Within safe limits, a greater injury will stimulate greater remodelling of the scar tissue. Carbon dioxide (CO2) laser resurfacing is the gold standard treatment for acne scars.
Profound RF is a break-through technology used to remodel and tighten skin on the face, neck and body. Known as the ‘non-surgical face lift’, Profound RF is an injectable radiofrequency treatment that tightens, smoothens, hydrates and melts fat. In clinical trials, Profound RF was found to deliver 1/3 of the result of a surgical facelift in a single treatment and that 100% of patients had a clinically evident response to treatment. Profound RF is used to treat deep, extensive or ice-pick acne scars.
Microneedling is a treatment that involves tiny needles that stimulate skin repair and create channels into the skin, enabling the absorption of nutrients applied to the skin surface. The depth of needling and choice of topical nutrients will impact on the results seen. Topical nutrients can include:
- Vitamins, minerals and antioxidants: to improve skin vibrancy and hydration
- Acid peel: to resurface scars and improve skin texture
- Hydroquinone: to fade pigmentation
The inflammation that is caused by acne can irritate melanocytes (pigment-producing cells). When irritated, these cells release clumps of pigment into the skin, resulting in darkening or pigmentation. This is known as post-inflammatory hyperpigmentation (PIH). At the Dr Tatiana Clinic, we treat PIH by reducing inflammation, blocking the production of new pigment and accelerating the shedding of existing pigment. This is best done using topical skin products containing evidence-based ingredients such as vitamin A and C, hydroquinone and glycolic.