Treatment of Acne Scarring

M. Alam, MD, MSCI; J. S. Dover, MD, FRCPC, FRCP


Skin Therapy Letter. 2006;11(9):7-9. 

In This Article

Treatment Modalities for Color Change

Laser and light sources can be used to improve acne-associated color change, especially erythema. Difficult-to-correct textural abnormalities associated with acne scarring can be camouflaged by reducing the ring of redness around such scars. The redness accentuates the depth of the scar and focuses the observer´s attention, but removal of the redness can make the scar seem less deep and noticeable, even if the depth and size are objectively unchanged. Pulsed-dye laser,[8] KTP laser, and intense pulsed light devices can be used for treatment of peripheral redness around acne scars. Usually, 3-4 or more treatments are required, at approximately 1 month intervals.

Brown discoloration around acne scars tends to occur in darker-skinned patients and is usually postinflammatory. As with all postinflammatory hyperpigmentation, the treatment of choice is the passage of time. Managing any residual active acne is also crucial, as further acne lesions will give rise to additional pigmentation. In some cases, a topical bleaching agent, such as 4% hydroquinone, may be appropriate adjuvant therapy.


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