ACNE SCARS TREATMENT IN EDMONTON
What is acne scars?
Acne scars and acne is the most common skin condition seen by a dermatologist; its prevalence has caused the input of many cosmetic treatments which has led to other conditions as a result of severe acne. These cosmetics sequelae include scarring and pigmentations which have an extreme impact on those affected.
Topical (examples retinoid, antibiotics, dispone, hydroxy acids) and oral treatments (antibiotics, spironolactone) are often used to combat or control acne. However, these acne treatments have little effects on the overall cosmetic result.
The designated change of scar types that can appear and the variability of reactions are seen on various skin types and textures. The treatment course of action is limitless without the relevant criterion for pathways that edicts the best timing, combination, and options in given clinical scenarios.
What treatments are available for acne scars in Edmonton?
Current treatment alternatives include solo or combinations of energy-based (laser, radiofrequency), chemical-based (peels, TCA cross), surgical-based options (subcision, punch excision), micro needling, and fillers or fat injections.
Currently, fractional radiofrequency-based treatments have been used to improve acne scarring with less reported downtime as compared to lasers or chemical peels. Also, it has the ability to treat dark or sensitive skin types with less risk of scarring or hyperpigmentation.
In acute cysts areas, scarring therapeutic course of medications are postponed till the acne is under control and in many cases, this always affects the dermatologist future cosmetics treatment thereby limiting the meds.
Furthermore, fractional radio frequency is an imminent possibility for treating all forms of acne scars with minimal risk to patients, including those on concurrent treatments such as isotretinoin.
Additionally, fractional radiofrequency can be used in combination with all other treatment options to speed the time to clinical improvement appreciated by the patient.
One of the top prevailing skin diseases is acne, commonly found in both male and female. In the United States, about 50 million people are affected by acne, given a score total of over 90% prevalence seen among adolescents.
Acne has a major psychology and social effects on anyone affected and 12-14% of the patients will still suffer from acute acne during adulthood.
Furthermore, a remarkable figure of patients with acne will later develop acne scars due to atypical healing response following tissue injury. The epidemiology as regards the occurrence of acne scarring is erratic with incidences between 0.17% and 90% being reported.
Those of us wrapped up in laser practices know the rate of scarring, associated dyschromia, and textural changes are extremely significant. Scarring and complexion issues can negatively alter the psychological and social well-being of those affected, especially younger patients.
It is therefore important to treat the acne aggressively early on in order to have a more profound impact on a patient’s life by limiting the number of future cosmetic treatments necessary to improve the scarring
Contemporary medication options include solo and combined energy-based (examples are the laser, radiofrequency), chemical-based (peels, TCA cross), surgical-based options (eg, subcision, punch excision), micro needling, and fillers or fat injections.
Most lately, fractional radiofrequency-based treatments are used to improve acne scar with little downtime compared to chemical or peels and the ability to treat sensitive or darker skin types with less risk of scarring or hyperpigmentation.
Management of Acne Scars in Edmonton
The extreme scars types are hypertrophic or keloid and atrophic scars. Atrophic scars occur more frequently than hypertrophic or keloid scars with a ratio 3:1. Both of the above scar types are seen in one patient simultaneously.
However, an atrophic scar is an indented scar that heals below the normal layer of skin tissue, characterized by a localized loss of collagen and the skin is unable to regenerate tissue, leaving behind an imbalanced scarring.
Scarring types and Treatment Options
These class of scarring types records about 15% incidences among acne patients and are treated with both combination and single treatments.
Here are some treatment combinations for acne scarring, pigmentation, and textural issues, and as suggested that fractional radiofrequency is a considerable “gold standard” treatment of acne scarring in those with dark or sensitive skin types or those on concurrent isotretinoin.
Their appearance is a narrowed V-shaped epithelial track extended into the deep dermis. The TCA peel is an excellent treatment choice but is effectively treated with laser radiofrequency and micro-needling as a second line and third line treatment respectively.
Rolling acne scarring develops when bands of tissues develop into deeper structures of the skin’s surface and between the surfaces of the skin. The first line of treatment includes laser, radiofrequency, fillers, and subcision. Second line treatment is Microneedling, while the third line is chemical peels.
Boxcar can leave a shadow when an uneven skin is not corrected. The first line of treatment for this type of scarring is the punch or surgical excision with laser and radiofrequency treatment. While the second and third line treatment includes chemical and micro needling.
Nevertheless, there are no currently any consensus guidelines dictating treatments for various clinical scenarios. Currently, most physicians will guide their treatments based on two major factors – the skin type and scar type or both.
Acne scarring has an intense effect on individuals affected and it is of great importance to treat the scars early to prevent a long-term psychological impact. Since there is no concurrence recommendation on the proper treatment of various clinical cases, a combination that bound complications and gives clinical improvement is relevant and is based on skin type and scar type.
The laser is considered the standard for treating different scars, however, radiofrequency technology can give similar results with little risk to darker and sensitive skin type.
Combining energy-based technologies with techniques such as adding TCA cross, micro needling, subcision, fillers, or punch excision gives better outcomes more quickly than any single treatment.
Notwithstanding, it is recommended to avoid giving other treatments during isotretinoin therapy for 6 months.
More studies are needed to determine safety surrounding the isotretinoin controversy. Thus, an algorithmic approach to the treatment of acne scarring treatment must be looked at critically by experts and defined in the near future to obtain better clinical outcomes for patients.
Fact of Edmonton
Edmonton’s weather is less severe compared to other cities in Canada (less snow and low humidity.