939 W. Market St., Suite 3, Lima, OH 45805 | 419-516-0515 | [email protected]

Classifying Acne Scars

Acne scars can be classified as macular, atrophic, or hypertrophic. Macular scars are flat scars that are discolored. Hypertrophic scars are elevated and usually discolored. Atrophic scars are depressed scars that are further classified as ice pick, boxcar and rolling acne scars.


Acne scar treatments

There is a wide range of treatment options available to treat acne scars. Unfortunately, it is expensive and time consuming. The treatments need to be very specific to each individual client. The size and type of acne scars and the clients skin type, age, gender, finances, and tolerance for pain and temporary change in appearance all dictate the treatment strategy. Most people will require a combination of several therapies over several months to effectively treat moderate or severe acne scars. At Physical and Aesthetic Medicine, we currently off the following treatment options:

LaseMD laser resurfaces the skin and makes the damaged acne-scarred skin smooth and brilliant. There is mild discomfort for the 15 minute treatment. Your skin will have a dry, sandpaper-like texture for 5-6 days post treatment. As your skin exfoliates, the acne scars will improve and you will have fresher, clearer skin. We charge $1600 for 4 treatments spaced a month apart. 

Micro-needling creates thousands of micropunctures in the skin, which stimulates collagen production. It is most helpful for rolling and boxcar scars. The procedure takes about 45 minutes, has minimal to no downtime and cost $1200 for 4 treatments.

Trichloroacetic acid (TCA) peel is a medium depth chemical peel that significantly reduces acne scars. It is inexpensive, but requires a week to recover.

TCA CROSS (Chemical  Reconstruction Of Skin Scars) techniques involve carefully placing very small amounts of highly concentrated TCA to the bottom of individual ice pick and boxcar scars. Collagen formation occurs and reduces the scars. It is moderately expensive as it requires 2 to 3 sessions, but it has less down time compared to a TCA peel as only small areas are treated.

Subcision involves placing a needle under the acne scar and repeatedly moving it back and forth to free the skin from underlying scar tissue. It is inexpensive and safe and usually combined with other treatments for best results.

Dermal filler injections can be placed directly under the scar to elevate it. This can decrease acne scars for 1 to 2 years. They are safe and inexpensive as very small amounts are needed. Unfortunately, you have to purchase the entire syringe—most clients use the remainder to treat other areas of their face.

There are other effective treatments for severe acne not offered at Physical and Aesthetic Medicine. These include the following:

Lasers such as carbon dioxide (CO2), Erbium and Fraxel are very effective in improving acne scars. They are very expensive with a significant amount of downtime.

Radiofrequency (RF) is electromagnetic radiation that generates deep dermal heating that stimulates collagen and decreases acne scars

Minor surgical procedures including Punch excision techniques and fat transplantation can very successfully remove deep pitted scars.