For moderate to deep acne scarring:
- CO2 laser - Includes Fraxel Repair, Active FX and Deep FX, Juvia and others; usually requires one treatment with significant downtime
- Erbium laser - Includes Fraxel Restore, ProFractional and others; usually performed in a series with minimal downtime
Dermabrasion - Small, rapidly spinning wheel with a roughened surface similar to fine-grained sandpaper is used to remove the upper layers of your skin
Surgery
- Subcision - Used for rolling acne scars, to break up fibrous bands of tissue under the skin
- Punch excision - Small, sharp punch instrument is used to cut out severe boxcar or icepick acne scars; surrounding skin is sutured together
- Punch graft - Same as punch excision, but instead of suturing surrounding skin together after the acne scar is excised, skin is taken from another body area and grafted to the former location of the scar
For mild to moderate acne scarring:
Injectable fillers used to fill in acne scar depressions include:
- TCA peel - Performed at a variety of depths depending on acne scar severity
- Salicylic peel - Sometimes treatments combine with microdermabrasion, e.g. SilkPeel
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