Atrophic scars, such as ice-pick scars, boxcar scars and even small depressed fibrotic scars can be removed or certainly improved by a punch excision of each individual scar.
With this procedure each scar is cut down to the layer of subcutaneous fat and the resulting hole is then repaired with sutures or small skin grafts.
Another option is for the punch to be simply elevated, there are three simple techniques that can do this:-
1) Punch excision: - This is when the pitted scar is removed by a cookie cutter like tool that punches out small portions of skin, and then the surrounding healthy skin is joined together by suturing.
2) Punch replacement: - Similar to the punch excision, the scar is removed and then replaced with a skin graft of unscarred skin, usually taken from behind the person's ear. This has been a successful method for treating deep scars.
3) Punch elevation:- As the title suggests, this is where the scar is punched out, but not discarded and allowed to float up to the level of surrounding skin, creating a more even skin tone.
Alternatively laser treatments can be used, which is costly but a more effective way to remove acne scars both quickly and permanently.
Laser acne treatment is normally carried out by dermatologists in their laser clinics or in hospitals. These treatments are carried out with the help of wave lengths of different intensity levels, due to the different levels of scarring.
Having laser acne treatment done will not only remove acne bacteria but also assist in reducing the red skin that is usually associated with acne and pimples.
For most acne patients, a single treatment is normally all that is required, but for others with more severe acne, further treatments may be required. Alternatively a different laser treatment can be performed with the help of the ablative laser which eliminates the outer layers of the skin with the scar tissues creating a lower visibility of the acne scar.
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