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Ask our Doctors

Skin Renewal Doctors all have a broad knowledge, background and passion for aesthetic medicine. Please feel free to ask them your questions and concerns.

Conditions
Conditions

Acne Scarring

The occurrence and incidence of scarring resulting from acne are 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. In the simplest terms, scars form at the site of an injury to tissue. They are the visible reminders of injury and tissue repair.
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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 inflammation can be prevented or moderated, the more likely it is that scars can be prevented.

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.

  1. Ice-pick scars are acne scars associated with loss of tissue which usually occurs on the cheeks. They are usually small with a somewhat jagged edge and steep sides-like wounds from an ice pick.
  2. Keloidal acne scars are raised and thickened scars which commonly occur in darker skin type patients. They are quite a unique type of scarring that can grow and thicken with time, acting almost tumour-like. These scars are best treated with intralesional steroids, Titan infrared light, Laser Genesis, and injectable treatments. In severe cases, these scars may require surgical excision.
  3. Hypertrophic scars are raised and thickened scars, but do not grow and thicken with time like keloids do. These scars are best treated with Needling, fractionated treatments and some injectables may be necessary to break down the excess tissue. 
  4. 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 fibres.
  5. 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.
  6. 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 can be seen in all skin types.

 

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:

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:

 

At Skin Renewal all patients with skin conditions are treated holistically by our qualified medical doctors who have experience in treating acne and acne scarring. 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 your acne. If the acne can be controlled and managed, there will be a greater success in treating the existing scarring and preventing new scar formation from occurring.

frequently asked
questions

Why choose Skin Renewal for your acne treatments?

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.

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

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.

Why is stomach acid important for health and skin conditions?

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 important is stomach acid?

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.

Frequently asked questions

Why choose Skin Renewal for your acne treatments?

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.

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

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.

Why is stomach acid important for health and skin conditions?

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 important is stomach acid?

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.

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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.

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

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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.

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

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Beautiful institution and has friendly staff!

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

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Great experience and treatment, with amazing results!

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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 the therapist 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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