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.
  • 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:

  • 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.
  • 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 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.

Frequently Asked Questions

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
*Please note results may vary by individuals.
Review -Willing to assist
Reviewed on 18 August 2018 by Anonymous

My overall experience is amazing. My therapist is very good at what she does. She explains procedures before they done and she always ensures That I am comfortable.

Review -Absolutely Brilliant
Reviewed on 5 July 2018 by Anonymous

Weeks before my appointment, I had very strong and informative communication with the clinic regarding Hyperhidrosis treatment. I went in today - the procedure was carried out very smoothly and almost painlessly. Unfortunately, during the procedure, my blood pressure dropped suddenly and I became incredibly dizzy (this was due to personal reasons.) the doctor promptly suspended the treatment while explaining to me what was happeneing and provided me with sugared water, tea and a quick blood pressure test. I felt in very safe hands and will definitely be back every time I come to South Africa.

Thank you so much, I hope the results are as good as my experience with you.

Review -Skin Needling Treatment
Reviewed on 30 June 2018 by Anonymous

I visited Skin Renewal Willowbridge branch for Skin Needling. My therapist Candice was amazing as always. She explained the full procedure and completely put me at ease in terms of any discomfort I would experience. After numbing, the procedure was surprisingly not as painful as expected and all in all, this was an amazing experience from start to finish.

Review -Friendly warm Relaxing
Reviewed on 30 June 2018 by Carmen Hengse

Candice has been my therapist for the last 6 months. From day 1 she has always been professional and welcoming.Not only is my experience great but my skin looks amazing. People has mentioned to me that I look 10 years younger. My cellulite is the only thing that does not appreciate this warm gentle, trusting human being. Which I don;t mind. Highly recommended!

Review -Spa Day at Cape Quarter
Reviewed on 29 June 2018 by Uoanne Ross

What a wonderful experience. Elize is a breath of fresh air. The perfect balance between professional and friendly. This was the best massage I have ever experienced and cannot wait to retun for another one.

Review -Amazing Experience - Spa Day!
Reviewed on 29 June 2018 by Nicci Creed

Megan was incredible, such great experience they made Jo and I feel amazing and really went the extra mile to make sure we had a great time! Love this place

Review -Fantastic results
Reviewed on 28 June 2018 by Anonymous

The treatment is quite short from a time perspective but the results are amazing. There is a "lifting" of some of the pigmentation that enhances the complexion. It's also always a pleasure to be in the safe hands of an experienced therapist who manage the treatment effectively.

Review -Excellent Treatment
Reviewed on 24 May 2018 by Anonymous

The treatment I received helped me restore my skin, treated acne scars and added a fresh look to my skin - Lourita is excellent! She keeps track of my details, she knows what needs to be done and does it it nicely and diligently.

Review -Fantastic Service
Reviewed on 7 May 2018 by Anonymous

Fantastic Service! Always a pleasure coming here once a month. After each treatment my skin feels amazing. Really personal and friendly staff.

Review -Peels, Carboxytherapy and Laser to Combat Acne Scarring
Reviewed on 12 April 2018 by Thalia Pillay

I’ve received treatments by Shanice for the past year. Shanice has performed wonders on my skin! She is always great at making treatments less painful and is really helpful in recommending creams that have also reduced the appearance of both my active acne and it’s scarring. I would definitely recommend Dermapen treatments as well.

Skin Renewal has reduced my scarring to a point where I am able to leave the house without makeup - something I would have never dreamed of before this year!

Review -Good! The service is amazing
Reviewed on 22 March 2018 by Tasnim Dawjee

My skin is much healthier than before. I've burnt my skin about three years ago and had bad scarring and I'm so grateful my husband introduced me to Skin Renewal. My skin, I have seen so many improvements and I do have pigmentation, but it's lighter and lighter and I do not need to wear makeup. I feel so much comfortable in my own skin. Thank you Skin Renewal.

Review -Microdermabrasion with Carmen
Reviewed on 2 March 2018 by Anonymous

I had a microdermabrasion with Carmen. She is very professional and her treatments are always perfect. A big thank you to her.

Review -Awesome Parkhurst
Reviewed on 26 February 2018 by M.M. Van Zyl

Kelly is an awesome therapist, super efficient and professional. The staff are all quite friendly and make you feel right at home. the treatments for the acne scarring are on point, crossing fingers for the surgical scar, but so far so good.

Review -Beautiful People to deal with
Reviewed on 14 February 2018 by Aisha Ismail

Dr Tarryn has an approachable, friendly nature. She is light-handed and very professional. Penelope and Jessica are beautiful people to deal with. Very pleased with my experience at this branch.

Review -Dermapen treatment review at Claremont
Reviewed on 7 February 2018 by Lianne Vink

Shanice is always very helpful, really takes her time to achieve the best results. Great massage :) I feel confident letting her touch and treat my skin.

Review -Always a pleasure at Claremont Skin Renewal
Reviewed on 7 February 2018 by Mrs C from Claremont

Always a pleasure to be around professionals! Mariesa is a very special lady!

Review -Mrs SA Finalist Sponsor Review: Megan Nel
Reviewed on 13 September 2017 by Megan Nel

I could never find a therapist who understood my needs....till I walked through the doors at the Renewal Institute Fourways. My Life has changed forever. They understand my needs, my schedule and my lifestyle.Their therapists are trained to use the best products on the market (Lamelle being my favourite) and their technology is world renowned.

Why would I choose any other Institute when Renewal Institute is the best!

Review -I wanted more, better results!
Reviewed on 31 May 2017 by Clare from Morningside

Over the years I have tried almost everything out there to soften my acne marks. Peels, products, laser, microdermabrasion, collagen fillers, supplements and close to 2 years of Dermapen. Which was very good and had good results. I wanted more, better results that last.

And I found it! After a visit to Dr Maureen, she recommended I try Subcision. I hadn't even heard of it. She explained the procedure and what I could hope for in results. The procedure was quick with minimal/manageable pain. I had some bruising and swelling on my cheeks afterwards for approx 4 days. The result truly was astounding and totally worth it. After just one treatment the visible difference is so good people have commented, even my own dermatologist! It is by far the best treatment I have ever had for my acne marks. The true results became most visible to me 2 months following treatment. Thank you, Dr Maureen.

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.

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!

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!

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.

Review -Awesome service from an awesome person
Reviewed on 25 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.

Review -Knowledgeable and friendly staff providing professional service
Reviewed on 25 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.

Review -Love my treatments
Reviewed on 18 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.

Review -Significant Inprovement!
Reviewed on 15 September 2014 by Nizam Joosub
Kelly is an excellent therapist. I enjoy the treatments and have seen significant improvement!
Review -Happy Happy
Reviewed on 12 September 2014 by Rose Cox

Fantastic, friendly and very professional staff and premises. Dr Xen discussed and explained the treatments that would help me most, the possible outcomes-complications and benefits. Liezel does my limelight and is warm, professional and I have a total trust in her ability. Dr Xen does my filler and Botox. He was so gentle and skillful. All in all I have felt a very uplifting and great experience. Thank you

Review -Amazing!
Reviewed on 11 September 2014 by Anonymous

My overall experience is amazing. The staff are extremely helpful, knowledgable and always friendly.

Review -Made a Difference
Reviewed on 11 September 2014 by Kgomotso Shiluvane

Thank you so much guys. You have made a difference in my life. I am always looking forward to my next visit. My self esteem has so much improved in all respect. Thanx once more again keep it up.

Review -Overall Experience
Reviewed on 10 September 2014 by Anonymous

Excellent treatment, therapist always friendly and very experienced in all treatments and always provides me with honest/informed advice. Skin Renewal is very personal and provide a very welcome environment where I can relax and know that I am in excellent hands. I definitely do recommend Skin Renewal to all my friends and colleagues. Thank you for the great service and friendly faces.

Review -Love the Treatments
Reviewed on 10 September 2014 by Anonymous

Been with skin renewal since my early 30's and cannot say a bad word. Liezel is the best and probably the reason for me still being here, updating me with all the new treatments and products. Love all the treatments @ Skin Renewal and always excited to make my appointments, as I know I deserve the best to look my best at all times. It's my present to myself.

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.

Review -Nothing To Fear
Reviewed on 8 September 2014 by Vanessa Lombaard

The overall experience was wonderful. I was greeted with a friendly, warm welcome at reception. My therapist was extremely informative, patient, gentle and made me feel completely comfortable knowing i was taken care of! She made me relax and explained the procedure before each step was take so I knew what to expect before and after procedure were done. Thank you!

Review -Very Satisfied
Reviewed on 6 September 2014 by Anonymous

I am very satisfied with the service at the Fourways branch. The doctors and the therapists are professional and competent and the support staff are brilliant. The friendly and professional way you are treated truly is to be commended. Even the one problem i did have was handled so well by the manager and smoothed over effortlessly. Thank you very much to everyone at Fourways!

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.

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

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.

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!

Review -Beautiful institution!
Reviewed on 2 September 2014 by Anonymous

Beaituful institution and friendly staff!

Review -Great Therapists
Reviewed on 27 August 2014 by Claudia Lee

Good Service, Good working Skills, Very helpful staff and great therapists!

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

Great experience and treatment, with amazing results!

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; Kerry and Dourina 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 :)

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