Acne Scarring

In the simplest terms, scars form at the site of an injury to tissue. They are the visible reminders of injury and tissue repair.

The occurrence and incidence of scarring is still not well understood. There is considerable variation in scarring between one person and another, indicating that some people are more prone to scarring than others.

Acne scarring frequently results from severe inflammatory nodulocystic acne that occurs deep in the skin, but scarring also may arise from more superficial inflamed lesions. Nevertheless, the only sure method of preventing or limiting the extent of acne scars is to treat acne early in its course, and as long as necessary. The more that inflammation can be prevented or moderated, the more likely it is that scars can be prevented.

The scars caused by increased tissue formation are called keloids or hypertrophic scars. Both hypertrophic and keloid scars are associated with excessive amounts of the cell substance collagen. The excess collagen becomes piled up in fibrous masses, resulting in a characteristic firm, smooth, usually irregularly-shaped scar.

The following is a list of different types of acne scars:

The results of most treatments vary from 30 to 70% improvement. Any better result should be considered as a bonus.

  • Ice-pick scars are acne scars associated with loss of tissue which usually occur on the cheeks. They are usually small with a somewhat jagged edge and steep sides-like wounds from an ice pick. This type of scar is like a small channel, usually not wider than 2 mm on the surface. It reaches from the skin surface into the deep dermis, sometime into the sub-dermal tissue. This scar type responds to the CROSS technique using 100% TCA.
  • Keloidal acne scars which are raised and thickened scars which and usually occur in the darker skin type patients. These scars as best treated with intra lesional steroids, Titan infra red light, Laser Genesis and Carboxytherapy treatments.
  • Rolling scars are the most common and most disfiguring form of acne scars. They are soft scars, superficial or deep and are soft to the touch. They have gently sloping rolled edges that merge with normal skin. They are usually small, and either circular or linear in shape. In most cases the lower part of this scar type is connected to the deeper fascia by collagen fibers. According to the tens of thousands of acne scar treatments performed worldwide within the last 3 years with the Dermaroller Skin Needling system, this acne scar responds the best to Skin needling. Depending on the affected skin area and quality of the scars several treatments (2 to 5) may be necessary in order to achieve a maximum possible result
  • The Boxcar Acne scar is a depressed fibrotic scar that is usually quite large with sharp edges and steep sides. The base of these scars is firm to the touch. Ice-pick scars may evolve into depressed fibrotic scars over time. These scars respond well to a combination of Dermaroller ™ Skin Needling and Laser Genesis ™ treatments. Dermal fillers injected into the lesion also improve the appearance of the acne scar with time.
  • PIH or Post Inflammatory Pigmentation is discoloration of the skin at the site of a healed or healing inflamed acne lesion. It occurs more frequently in darker-skinned people, but occasionally is seen in people with white skin. Early treatment may minimize the development of post-inflammatory pigmentation. Some post-inflammatory pigmentation may persist for up to 18 months, especially with excessive sun exposure. Topical products such as the newly launched Luminesce range by Lamelle chemical peelings and may hasten the improvement of post-inflammatory pigmentation.

In Office Treatments:

At Skin Renewal a number of treatments are available for acne scars. The type of treatment selected should be the one that is best for you in terms of:

  • your type of skin,
  • the cost of the treatment
  • the downtime that you can afford
  • what you want the treatment to accomplish;

The objective of scar treatment is to give the skin a more acceptable physical appearance. Total restoration of the skin to the way it looked before you had acne is often not possible but scar treatment does usually improve the appearance of your skin.

The scar treatments that are currently available at Skin Renewal include:

  • Dermaroller™ Skin Needling is similar in principle to chemical and laser resurfacing techniques. The dermis is directly injured to initiate a wound healing response that ultimately increases dermal collagen production and deposition by fibroblasts and improves acne scarring.
  • Laser treatments with Laser Genesis or Pearl Laser may be used to recontour scar tissue and reduce the redness of skin around healed acne lesions.
  • Hyaluronic dermal fillers are injected under the skin to "stretch" and "fill out" certain types of superficial and deep soft scars. Hyaluronic acid treatment usually does not work as well for ice-pick scars and keloids.
  • Needle stamping is a novel way of treating isolated ace and chicken pox scars. It works on the same principle as Dermaroller™ Skin Needling but only small isolated scars are treated in one session. 2 to 6 treatments are needed for best results.
  • Crystal Microdermabrasion is a surface form of dermabrasion. Rather than a high-speed brush, crystal microdermabrasion uses aluminum oxide crystals passing through a vacuum tube to remove surface skin. If microdermabrasion with compressor is used, a considerate amount of skin can be removed for more impressive results. This procedure has a downtime of 7 to 10 days and runs the risk of post dermabrasion hypopigmentation.
  • With normal microdermabrasion, only the very surface cells of the skin are removed, so no additional wound is created and there is no downtime. Multiple procedures are often required but scars may not be significantly improved unless combination treatments are done.
  • Keloidal acne scars are treated by injecting steroidal drugs and Botox into the scar after a Laser Genesis treatment.

At Skin Renewal we pride ourselves on careful attention to each patient. A highly professional team led by a medical doctor assesses every patient and an appropriate combination treatment is recommended. Every client is provided with a customized solution depending on expectations, budget, anticipated downtime and medical conditions. A series of 4 to 6 treatments are usually necessary to treat acne scars.

Skin Renewal Tip

Acne scars in skin of colour have traditionally been very difficult to treat with lasers. AT Skin Renewal a series of Laser Genesis treatments combined with Carboxytherapy or Dermaroller™ Skin Needling is promising to be one of our star performers for acne scars in people of colour. Combined with the correct product range, Post Inflammatory Hyperpigmentation PIH can also now be successfully treated.

Read More

Frequently Asked Questions

  • 1

    Why choose Skin Renewal for your acne treatments?

    Read More

    At Skin Renewal all patients with skin conditions are treated holistically by our qualified medical doctors who have experience in treating acne. In other words, in an acne consultation at Skin Renewal, your doctor will take a comprehensive history to ensure that there are no underlying medical conditions which are contributing to you acne.

    There are numerous significant medical conditions that are associated with acne that need to be identified and addressed. Conditions such as low stomach acid, dysbiosis and leaky gut all compromise skin but more importantly which have future health ramifications such as auto immune disease, food sensitivities, allergies, asthma, depression and even cancer if they are not adequately addressed.

    In addition, low stomach will eventually lead to low levels of Zinc and other important minerals and vitamins which are essential for good healthy skin.

  • 2

    Why does your Skin Renewal doctor check for low stomach acid during your consultation for acne?

    Read More

    At Skin Renewal, during your initial consultation with one of our qualified doctors, it may be advised that you are checked for low stomach acid thereafter a complimentary Betaine HCl acid test is explained and done. Because:

    Adequate stomach acid is essential for absorption of the minerals zinc, magnesium, calcium, iron and folate which are essential for healthy skin.

    Adequate Stomach acid prevents dysbiosis.

    Adequate stomach acid will help prevent a "leaky gut "with all its health ramifications from developing.

  • 3

    Why is stomach acid important for health and skin conditions?

    Read More

    Adequate stomach acid is essential for absorption of the minerals zinc, magnesium, calcium, iron and folate which are essential for healthy skin.

    Adequate stomach acid is necessary for the absorption of the B vitamins.

    Stomach acid activates protein-digesting enzymes and is necessary for proper digestion of protein.

    Adequate stomach acid is necessary for the pancreas to release its cascade of digestive enzymes for absorption of carbohydrate and fat.

    Sub-optimal fat digestion means we won't benefit from the anti-inflammatory properties of omega-3 fats, nor the wide array of beneficial effects of fats for fertility, skin health, immunity, etc.

    Adequate stomach acid destroys pathogens bacteria, fungi, parasites etc) and a lack of stomach acid can lead to bad bacteria proliferating in the small intestine dysbiosis (bad bacteria) and unwanted parasites which have Health Renewal ramifications down the line.

  • 4

    How important is stomach acid?

    Read More

    How can we expect to stay healthy and have healthy skin without constant breakouts and other Skin/ Body/ Health Renewal conditions if we have chronically poor nutrient and mineral absorption due to incomplete digestion?

    Having normal levels of stomach function the first important domino in a row of dominos: If stomach acid is adequate, the rest of one's digestion and absorption won't be compromised and the first domino won't fall and immune dysfunction is less likely down the line.

    If digestion in the stomach is compromised due to low stomach acid, then the fall of the first domino will occur and the breakdown and absorption of nutrients in the stomach and beyond won't be optimal. In fact, digestion and absorption can be reduced to the point where even if someone is consuming a nutrient-dense diet, they can suffer both sub-clinical and overt deficiencies because they're not assimilating those nutrients because they have low stomach acid. Get your stomach acid checked by our Skin Renewal Doctors.

At Skin Renewal all patients with skin conditions are treated holistically by our qualified medical doctors who have experience in treating acne. In other words, in an acne consultation at Skin Renewal, your doctor will take a comprehensive history to ensure that there are no underlying medical conditions which are contributing to you acne.

There are numerous significant medical conditions that are associated with acne that need to be identified and addressed. Conditions such as low stomach acid, dysbiosis and leaky gut all compromise skin but more importantly which have future health ramifications such as auto immune disease, food sensitivities, allergies, asthma, depression and even cancer if they are not adequately addressed.

In addition, low stomach will eventually lead to low levels of Zinc and other important minerals and vitamins which are essential for good healthy skin.

At Skin Renewal, during your initial consultation with one of our qualified doctors, it may be advised that you are checked for low stomach acid thereafter a complimentary Betaine HCl acid test is explained and done. Because:

Adequate stomach acid is essential for absorption of the minerals zinc, magnesium, calcium, iron and folate which are essential for healthy skin.

Adequate Stomach acid prevents dysbiosis.

Adequate stomach acid will help prevent a "leaky gut "with all its health ramifications from developing.

Adequate stomach acid is essential for absorption of the minerals zinc, magnesium, calcium, iron and folate which are essential for healthy skin.

Adequate stomach acid is necessary for the absorption of the B vitamins.

Stomach acid activates protein-digesting enzymes and is necessary for proper digestion of protein.

Adequate stomach acid is necessary for the pancreas to release its cascade of digestive enzymes for absorption of carbohydrate and fat.

Sub-optimal fat digestion means we won't benefit from the anti-inflammatory properties of omega-3 fats, nor the wide array of beneficial effects of fats for fertility, skin health, immunity, etc.

Adequate stomach acid destroys pathogens bacteria, fungi, parasites etc) and a lack of stomach acid can lead to bad bacteria proliferating in the small intestine dysbiosis (bad bacteria) and unwanted parasites which have Health Renewal ramifications down the line.

How can we expect to stay healthy and have healthy skin without constant breakouts and other Skin/ Body/ Health Renewal conditions if we have chronically poor nutrient and mineral absorption due to incomplete digestion?

Having normal levels of stomach function the first important domino in a row of dominos: If stomach acid is adequate, the rest of one's digestion and absorption won't be compromised and the first domino won't fall and immune dysfunction is less likely down the line.

If digestion in the stomach is compromised due to low stomach acid, then the fall of the first domino will occur and the breakdown and absorption of nutrients in the stomach and beyond won't be optimal. In fact, digestion and absorption can be reduced to the point where even if someone is consuming a nutrient-dense diet, they can suffer both sub-clinical and overt deficiencies because they're not assimilating those nutrients because they have low stomach acid. Get your stomach acid checked by our Skin Renewal Doctors.

Reviews

See all reviews
Review -Service is out of this world!
Reviewed on 9 February 2016 by L.M from Skin Renewal Fourways

Treatment is working wonders to my skin. Therapist customer service is out of this world. Always great coming over for my treatments.

Read more
Review -Results continue to amaze me!
Reviewed on 2 December 2015 by Jessica Fox

I have been a loyal customer with Skin Renewal for 2 years and my reason for returning is the wonderful treatments (peels & dermapen) I receive from Lezanne. She knows exactly what my skin requires and results continue to amaze me. She is an asset to this company and can't praise her enough!

Read more
Review -Excellent results!
Reviewed on 26 September 2015 by Shelly Mcciormick

It has been a journey to get here! I arrived with active acne that was treated through a series of peels. Now that my skin has stabilized, I was left with acne scarring, which is being treated with Dermapen. After the first session I could already see the results, so today I am back for my second!

Read more
Review -Very Professional Skin care
Reviewed on 20 February 2015 by Deborah Kolnik

I find Marzet & the Sin Renewal Constantia team very friendly, organized, caring and highly professional. The treatments I have been having have been highly effective.

Read more
Review -Knowledgeable and friendly staff providing professional service
Reviewed on 26 September 2014 by Cornelia Nel

From the Reception to the treatment room, all staff are friendly and helpful. My therapist is knowledgeable, provides sound advice with my treatment packages and always does so with a smile. All treatments I have received has been done so professionally and I will continue to recommend and use this branch.

Read more
Review -Awesome service from an awesome person
Reviewed on 26 September 2014 by Quinton Govender

Landa is always very pleasant. Her infectious smile just brings about a welcoming feeling. Which leads one to become very comfortable here at skin Renewal. She has a genuine interest in her clients and can adapt and relate to all individuals enabling comfort, openness and trust. She is thoroughly professional, extra caring and very honest. She is pretty too. Awesome service from an awesome person.

Read more
Review -Love my treatments
Reviewed on 19 September 2014 by D. N from Skin Renewal Irene

All treatments have been explained thoroughly by both the doctor and the therapist. Ilona is always friendly and welcomes any questions that one may have and she takes her time to answer any queries.

Read more
Review -The overall service is refreshing!
Reviewed on 8 September 2014 by Anonymous

The overall service is refreshingly professional and yet caring and it was a deciding factor to me that one's treatments are tailored by a medical Doctor. Tammy, my therapist, is always prepared and knowledgeable and there is no way of forgetting about your appointment since the salon reminds one a day before via SMS.

Perhaps most pleasing of all is that my skin has significantly improved due to the careful treatments.

Read more
Review -Visible Improvement
Reviewed on 5 September 2014 by Anonymous

Second treatment, since assessment and I can see visible improvement in my skin. It's brighter and the pigmentation around my mouth and the pigmentation from acne scaring has improved. Can't wait to finish course of treatment to see full results.

Read more
Review -Very professional therapist
Reviewed on 4 September 2014 by Gia Marais

Very professional- fully explained the process and what to expect. I felt as through I was in very capable hands ~Thanks Bianca

Read more
Review -I always enjoy my visits to Fourways
Reviewed on 3 September 2014 by Sarah Govender

I have been a long time clients at Skin Renewal and to date am very pleased with the service. I see Liezel as my therapist and Dr Cecile Baard for other treatments. The environment is always relaxed and friendly and I always enjoy my visits, even the ones that are somewhat painful.

Read more
Review -Starting to see positive results!
Reviewed on 3 September 2014 by

Nicole has been absolutely professional. I am starting to see positive results with my skin. I am thrilled. Thank you!

Read more
Review -Amazing Results!
Reviewed on 26 August 2014 by Anonymous

Great experience and treatment, with amazing results!

Read more
Review -Fantastic Team, and Fantastic Service
Reviewed on 11 June 2014 by Catherine Denning

I would just like to send a quick thanks to all the ladies (and gents) who do such a brilliant job!

The good experiences started in April when I met with Dr Graham for a consultation about my acne scarring. Since, I have been for three treatments in DermaPen Needling (one with Dr Toni and the other two with Dr Dominique) and most recently, enjoyed my Birthday facial.

A special thank you to Chantel who looked after me so brilliantly yesterday and made myself (and my face!) feel like a million bucks- it was the perfect ending to my drawn out birthday celebrations :)

I would also like to thank the therapists; Storm, Kerry and Douina who always looked after me so well before, during and after each treatment.

Your whole team, from the Doctors who do such a brilliant job (and have given me the exact results I was looking for!) and the therapists who are fantastic; thank you to everyone for making my visits at the Skin Renewal clinic so enjoyable. My skin looks and feels fantastic!

Thank you :)

Read more