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2024.09.13
Complete Guide to Acne Scar Treatment|It's Not Just Craters! A Doctor Explains Causes by Type and Advanced Treatment Methods
With deep medical insight cultivated as an internal medicine specialist, I bridge aesthetic surgery, dermatology, and internal medicine. Having spent my childhood in China, I communicate fluently in Japanese, Chinese, English, and Korean. Possessing an international perspective—evidenced by invitations to present at overseas conferences—I actively promote techniques as a Key Opinion Leader (KOL) for GOURI and REJURAN®. My specialty procedures include double eyelid surgery, skin-nurturing boosters, and body hyaluronic acid treatments. My approach leverages the holistic understanding of the body cultivated through internal medicine to guide patients toward natural, healthy beauty.
Hello, everyone.
Dr. Hime of BIANCA CLINIC, also known as Senki Akashi.
This time, we'll discuss acne scar treatment.
Bianca Clinic offers a variety of treatments that can be customized to suit your skin condition and concerns.Skin Treatment Deviceare available.
While we may simply call them “acne scars,” there are actually various types, and each requires a different approach.
Common Types of Acne Scars: Characteristics and Treatment ApproachesLet's go through them one by one.
Depression (crater) type
The most common type is the so-called "crater-like" indented acne scars.
When inflammatory acne persists for a long time, inflammation occurs beneath the skin,Dermal tissue adheres and pulls in the skin surfacearises for the sake of.
There are different types of craters,
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Boxcar type (square with distinct edges and a recess)
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Ice pick-like (fine indentations resembling needle pricks)
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Rolling type (gentle wavy indentations)
and are classified based on their cause and depth.
Hypertrophic (Keloid) Type
In contrast to a dent,The type where the skin bulgesAcne scars.
Acne is an inflammatory skin condition. When collagen is overproduced during the wound healing process, it can lead to the formation of keloids or hypertrophic scars.
In this type of case, firstReduce inflammation with steroid injections, etc.Let's start with that.
Pigmentation Type (Black/Red)
Flat acne scars,The type where only the color remainsis.
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Dark marks: "post-inflammatory hyperpigmentation" caused by excessive melanin production after inflammation
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Red marks: "post-inflammatory erythema" seen in the early stages when acne hasn't fully healed
Redness may fade naturally over time, but if it persists for more than six months, vasodilation may be involved.
Acne Scar Treatment Explained by Type
Here, we will introduce treatment methods tailored to each type.
Acne Scar Treatment | Craters (Indentations) Edition
The primary cause of large craters is subcutaneous adhesion.
Therefore, first we must separate the adhesions.SubdivisionやTrifilPro(High-pressure gas stripping therapy) is a representative example.
Additionally, the following treatments may be combined to promote skin regeneration.
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TCA Peel (Chemical Peel for Regeneration)
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Dermapen (micro-needling to induce wound healing)
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Potenza (dermal stimulation using needles and high-frequency waves)
For shallow craters, treatments that stimulate collagen production using skin boosters like JuveLook are also effective.
▼When it comes to acne treatment, Dr. Manami is the expert! Be sure to check out this blog as well.
https://biancaclinic.jp/blog/42819/
Acne Scar Treatment | Raised Scars (Keloid) Edition
For keloid-type raised areas,steroid injectionIt is injected directly into the affected area to suppress inflammation and fibrosis.
Cooling therapy and topical agents are also used as needed to prevent recurrence while smoothing and refining the skin.
Acne Scar Treatment | Hyperpigmentation & Redness Edition
For dark pigmentation,peelingやHydroquinone topicalis valid.
Regulates skin turnover while gradually expelling melanin.
For those with persistent redness,V-BeamやUses vascular laser and light therapies such as Lumecca (IPL).
Furthermore, Puru-RiaruCombined with skin boosters such as these, it helps calm redness and improve skin texture.
BIANCA's Intensive Treatment Program for Severe Acne | HydraFacial × Roaccutane
Top: Before treatment / Bottom: 1 month after starting treatment
💴 HydraFacial 6 sessions / Roaccutane 3-month supply ¥198,000
⚠️ Side effects such as dry skin and mucous membranes may occur.
Severe acne can be difficult to control with topical medications and spa-like treatments alone.
What we propose in such situations is,HydraFacial × Roaccutane Combinationis.
This patient had multiple inflammatory red acne lesions. The inflammation spreading across the cheeks and chin has begun to subside, and shine caused by sebum has also decreased.
Clogged pores cleared up, and my skin overall became smoother and brighter.
Roaccutane (isotretinoin) is a vitamin A derivative,Controls sebum production, prevents the proliferation of acne bacteria, and soothes inflammation.There is work.
It is widely used overseas as the standard treatment for severe acne, and at Bianca Clinic, doctors carefully prescribe it while monitoring the patient's skin condition.
HydraFacial uses a specialized water jet to suction out pore impurities while delivering active ingredients.Pore Cleansing Treatment。
By controlling sebum from within with Roaccutane while clearing and refining the surface with HydraFacial,"Prevent clogging and breakouts" skin environmentis our goal.
HydraFacial (6 sessions) +Roaccutane (3 months),We run the program concurrently (many people notice changes in their skin within 2 to 3 weeks).
While suppressing inflammation over the course of three months,Improve skin texture to reduce recurrenceWe will proceed.
Summary|Identifying the Type is Key to Treating Acne Scars
While all referred to as acne scars, they can manifest as indentations, redness, hyperpigmentation, or raised bumps—each with its own underlying cause. Choosing the appropriate treatment for each type is the fastest way to restore your skin's health.
At Bianca Clinic, our doctors carefully diagnose your skin condition,Outside, Inside, Lifestyle HabitsWe provide comprehensive support throughout the entire process.
If you're wondering, "What type of acne scars do I have?", please feel free to consult with us first.
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