column (e.g. in newspaper)
2025.07.14
Acne Scar Treatment: An Approach from Within.
As an Assistant Professor, Associate Ward Director, and Chief of Dermatopathology at the university hospital dermatology department, I deepened my expertise through academic presentations and paper publications both domestically and internationally. I have handled a wide range of treatments, from birthmark therapy in children to adult pigmentation concerns, utilizing various lasers and injection therapies, while also contributing to community healthcare. Through encountering numerous cases, I strongly felt the potential and necessity of aesthetic medicine, resolving to pursue further expertise. Building upon my solid dermatological knowledge and meticulous diagnostic skills, I value treatments that gently support each individual's skin while bringing out its inherent beauty.
Days of passionately discussing acne continue, but finally, the treatment for acne scars is nearing its final chapter.
I am Dr. Aya Hayama, a board-certified dermatologist.
Unfortunately, for those who have been left with acne scars, whether covered by insurance or paid out-of-pocket.
Even without a memory of having large acne lesions, it has been suggested that prolonged pore blockages (comedones) can lead to scarring.
If it's just enlarged poresDermapenPlease refer to my blog at [URL].
https://biancaclinic.jp/blog/42870/
Subdivision
Primarily during the process of inflammation subsiding, fibrosis occurs in the skin's dermal tissue, meaning the skin becomes stiff and scarred.
One method for loosening this fibrosis is the so-calledSubdivision！！
It is necessary to loosen the fibrotic tissue using needles or cannulas.
This lifts the sunken portion of the crater, making it suitable for improving uneven acne scars and craters.
For acne scars and crater treatment, thatOutside approachFor vertical-type craters, treatments like fractional laser and Dermapen are common. However, with deep-type craters, lasers or needles may not reach the target area or may recede, resulting in ineffective outcomes. On the other hand, subcision treatment...An approach from withinAs such, it shears horizontal intradermal and subcutaneous scar tissue.
This treatment improves acne scars and indentations by promoting the reconstruction of healthy tissue in the excised area. Another method involves injecting hyaluronic acid into the area where the fibrotic tissue has been excised.
TrifilPro
Additionally, Tri-Fil Pro, which I find particularly noteworthy, uses ultra-fine needles to deliver carbon dioxide (CO2 gas) and medication into the skin through an innovative process.Micro-subcisionInjector.
especiallyCarbon dioxide (CO2) gas injectionSubcision has the effect of detaching hard scar tissue that causes acne scars and enlarged pores. By horizontally separating the tissue and injecting medication into the space created, it can improve scar tissue and promote the reconstruction of normal tissue.
The amount of carbon dioxide gas (CO2 gas) can be adjusted, allowing treatments tailored to the severity of acne scars.
This treatment improves crater-like acne scars with noticeable indentations—previously difficult to treat—through subcision, leading to smoother skin. Furthermore, compared to subcision, Tri-Fill Pro carries significantly lower risks and downtime, such as bleeding during the procedure and post-treatment hyperpigmentation.
And not only does it promote vasodilation and blood flow,Drug Delivery SystemThis combination is expected to deliver synergistic effects from the injected medication. This combination targets stubborn craters and acne scars.
【Choose your preferred medication for the Rejuvenation Shot from the options below】
Hydro Snekos Prurial Densify Profilo Rejuvenate
https://biancaclinic.jp/treatment/skin-care/acne/subscision/
Skin rejuvenation therapy has been gaining attention in Europe for several years and has become a trend in Japan as a "natural anti-aging treatment." *This treatment can be injected throughout the entire skin. These formulations aim to increase skin elasticity and firmness by boosting collagen and elastin, reconstructing the skin's structure, and rejuvenating the entire complexion.
With this skin-nurturing treatment by Triphil Pro, you can expect beautiful skin effects as early as a few days after the procedure. The available medication options include:hyaluronic acid、amino acid、Vitamin、Exosome、PDLLAやPCL formulationThis enables optimal rejuvenation treatments for various conditions such as acne scars, enlarged pores, fine lines, redness, and pitted scars.
🩵Hyaluronic Acid
A polysaccharide originally produced by skin fibroblasts that helps retain moisture.
💜Hydro
Non-crosslinked low-, medium-, and high-molecular-weight hyaluronic acid. Exosomes may also be co-injected. Promotes collagen and elastin production.
💙Jubelook
The main ingredient is polylactic acid (PDLLA), also used in thread lifts, which promotes collagen production to improve skin firmness, elasticity, fine lines, and enlarged pores.
🩷Rejuran
This injection formulation primarily consists of salmon DNA fragments. Compared to the currently popular PDRN cosmetics, it features a larger molecular weight and higher purity. It primarily utilizes wound healing capabilities (the body's ability to heal injuries) to activate growth factors, aiming to promote cellular and tissue repair, as well as normalize blood vessel formation. In terms of self-repair, it also promotes wrinkle improvement, enhanced moisturization, and reduced redness. It is administered intradermally and may cause slight discomfort.
💛Pull Real Densify
The formulation combines PN agents, hyaluronic acid, and mannitol to prevent degradation, thereby enhancing its expected duration of action.
💚Snekos
Non-crosslinked hyaluronic acid + amino acids not only add hyaluronic acid but also stimulate the body's own production of collagen and hyaluronic acid, making it effective for wrinkles, firmness, and pores.
https://www.instagram.com/p/DLKiSA4zMka/
Here's a personal musing from me, a dermatologist...
I'm also someone with acne scars. How many times have I tried Dermapen and fractional treatments...
It's improved significantly, and unless I mention it myself, it seems no one would notice. This is one of the treatments I want to do regularly next!!
If you're struggling with acne scars, now is the time to take advantage of our current campaign!
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