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Acne Scars – Removal by Laser or Infini

smooth clear skin

This picture is not reflective of any results of treatments at our clinic. It is not a picture of our patients.

Suffering from acne / pimple scars that are making your complexion pitted and uneven? Feeling self-conscious of your appearance and unable to look at others in the eye because you’re afraid of what they might think of you? Its time to stop feeling defeated, devastated or depressed.

You don’t have to live with it anymore– there are ways to improve your appearance now.*

There are basically 5 types of acne scars:

  1. atrophic acne scars (mostly shallow),
  2. boxcar acne scars and
  3. icepick acne scars (deep and narrow)
  4. rolling acne scars
  5. valley scars
  6. hypertrophic scars

What are some effective treatments for acne scars? Well, besides treating active acne and preventing further outbreaks that will create more acne scars, here are some possible solutions to smoothen out those unfortunate pockmarks on your face, ranging from subcission to laser resurfacing, as well as acne control treatment to keep those zits in check.*

Subcission

This requires manual separation of the skin from the deeper layers of the scars with a needle. It causes a little bleeding under the skin that allows the scar to then heal and level out, effecting remodelling of scars.* Bruising is common after this procedure.

Price from SGD 400-600

Laser resurfacing – Fractional CO2

Ablative laser essentially shears off the top layer of the skin and heats it up so that it can re-heal into a smoother texture.* However, there is a higher risk with full ablative laser treatment. A less invasive and safer method: fractional resurfacing laser, which covers only 20% – 50% of the same treated area and therefore also has only 20% of the downtime and complications… and achieves good results too, even from the first session.* Usually around 5 to 10 sessions may be required.

5 sessions for SGD 2000 (SGD 400/session only)

Chemical peels

Essentially, this also aims to exfoliate the acne scars on the surface and/or excite new healing in the deeper layers, depending on the type of chemical peel used, thereby remodelling the acne scars.*

Price from SGD 250-320

Dermabrasion / microdermabrasion

Similar to chemical peels, except that it employs physical exfoliation. This can be quite an abrasive treatment for the skin.

Microneedling

The dermaroller consists of tiny needles that can be applied all over the face to release acne scar tissue and cause rehealing, somewhat like a milder form of subcission.

Punch excision

At the very worst, stubborn acne scars may be removed surgically… but of course, this may lead to another scar and is a method reserved for the most unrepentant scars. We do not routinely recommend this treatment due to the possibility of further scarring after excision.

Injection

This is only suitable for raised or hypertrophic scars. It is effective in softening and flattening them, so that they are leveled with the skin.* Thereafter, laser treatment will help to improve them further.*

Price from SGD 50

Acne Scar Filler

Filler can be used to fill out depressed acne scars and level them out with the skin.*

Price from SGD 650

It is a myth that filler for acne scars can only last 6 months and is afterwards entirely resorbed. It is expected to last about 6 months in the body but recent few studies have also shown that it assists in the production of some collagen that gives acne scars more lasting improvement.*

Radiofrequency (RF) Microneedling by INFINI (Lutronic)

Infini

This treatment uses Fractional RF Microneedles, using a machine device that effects microneedling and delivers heat by radiofrequency, which can penetrate deeper than laser and improve stubborn resistant acne scarring.* It gives fractionated remodelling to the deep dermis and therefore also helps in skin tightening.* Usually 1-3 sessions are required.

It used to be that Radiofrequency in high energies cannot be delivered to the skin without causing a certain degree of epidermal damage or burn as it passes through the epidermis. However, this new technology INFINI makes use of microneedles to bypass the epidermis and reach the dermis directly so that the passage of energy is transmitted past the epidermal layer of the skin and gives selective heating of the dermis only. The needles that pass through the skin are insulated so that the epidermis layer is protected to minimise risks and side effects.

The result is that the deeper dermis, where the acne scars originate, is directly treated and effective remodelling of the acne scars is achieved.*

Price from SGD 850

Do not think that there is only 1 treatment suitable for improving acne scars. Most of the time, more than one treatment modality is necessary to achieve the best improvement of scars.* The best benefit may be achieved by combining a few of different treatments according to the acne scar types that you have, so keep an open mind when consulting with our doctors for the best regime for improving your acne scars.

Our First Option

What we have found most cost effective is our fractional CO2 laser skin resurfacing for acne scar removal, commonly known to most as Fraxel. We only use FDA approved, HSA approved eCO2 laser system by Lutronic, which delivers just the right energy to give results with minimum downtime.*

Tiny beams of laser penetrate beneath the acne scars all over the skin so that acne scar tissue contracts and new collagen regenerates, therefore resurfacing the scarred area to restore a smooth complexion. This may be associated with some pain, which is alleviated by our strong topical numbing cream before the procedure.

Downtime is approximately 1 week, with some redness and swelling in the first 2 days. Scabbing follows for the next 3 days, followed by a quick recovery. Results are clearly visible with every treatment after a month or so, and even more with a prescribed course of treatments.* In fact, improvement may be seen up to 6 months post treatment.* Treatments should be spaced at around 4 weeks apart for maximum benefit.*

It is a myth to assume that acne scars cannot be treated. The Reality is that fom our experience, most patients see some improvement of their acne scars after one session of fractional CO2 Laser treatment.* Desirable results are usually seen after multiple repeated sessions of treatment.*

Possible Side Effects

Sun protection is very important to avoid post procedure hyperpigmentation. We adjust intensity of treatments to suit your skin type so as to minimise pigmentary changes that may be associated with aggressive treatment. Prophylactic abx may be recommended to pre-empt any possibility of infection.

For Stubborn Acne Scars

With stubborn acne scars that resist treatment with Fractional CO2 laser, these may improve with alternative treatments such as subcission.* This involves manual needling underneath the acne scars and goes under the scars so as to release scar tethering.* Using filler to fill in the scars can also produce better visible results instantly.* Chemical peels may also help to remodel acne scars as a complementary treatment to Fractional CO2 laser. You can also undergo Radiofrequency Microneedling treatments such as Infini which micro needles penetrate deeper into the dermis and releases scar tissue as well as encourage acne scar remodelling.

Downtime is usually from some bruising or redness or swelling, which takes a few days to a week to resolve. Results are visible from a month after treatment and acne scars may continue to improve up to 3 months after treatment.*

*Note: As this is a medical procedure, results & outcomes are not guaranteed and may vary from person to person.

For more information

To find out about our pricing or to book an appointment, please call us at 6338 9448 or sms us at 9186 0805 (24 hr) or email us at enquiry@tiffinyyangclinic.com today. You can also find us here.

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Post Treatment Care Instructions for You

1. DO NOT wash on the day of treatment. Leave epidermal debris on the face as coverage.

2. After 24 hours, use a gentle cleanser (highly recommended: Tiffiny Yang Skincare Gentle Cleanser) for washing face for the first week. Pat dry lightly. Do not scrub or use harsh & abrasive soaps.

3. Apply cooling masks if swelling or sunburn sensation occurs.

4. Apply thin layer of anti infective cream for first 3 days. If skin is unbearably irritated, use very thin layer of anti infective & anti-inflammatory cream.

5. Use a regenerating moisturizing cream twice a day to assist in speedy healing. Skin heals well in a moist environment. Dryness will results in scab formation.

7. Sunblock (at least SPF 30) can be applied from Day 2 of treatment and is very important in preventing pigmentary changes. Avoid direct sun exposure for the first week.

8. Mineral cosmetics can be used from Day 3 of treatment. Avoid alcohol-containing products (in makeup, toner, etc.) for 2 weeks.

9. DO NOT pick at scabs.

This article was written and produced by Tiffiny Yang Aesthetics & Surgery

“Medical Aesthetics: Fabulous, Not Fake”