Acne is a long-lasting and recurrent inflammatory disease of the oil-producing glands. Over time, it can create permanent deep scars on your skin. It manifests itself with black spots on the skin, red pimples, sometimes deep cysts and nodules, and scars when left untreated. For this reason, it should be treated by a dermatologist without delay.
It usually begins in adolescence. It can be seen equally frequently in men and women at all ages. It can continue for many years, from adolescence to adulthood.
Acne and Acne Treatment Must Be Done WITHOUT LEAVING SCARES!!!!
Acne Its treatment is very important because it can leave permanent scars, called SCAR, from the time it appears. Once acne leaves deep scars, removing these scars is a very difficult and expensive task. Most of the time, acne scars can be lightened, but it may not be possible to completely eliminate them. Acne is most common on the face, back, chest and shoulders.
Make-up used to cover acne and scars leaves the skin airless, pushing acne deeper. In this case, acne treatment becomes more difficult.
Our skin completes our beauty. It plays an important role in external appearance and creating the first image. Oily, porous, blackheaded, inflamed, red-spotted and scarred skin spoils the first impression. Even if the person with acne pays attention to cleanliness, it may appear that the skin is not clean. The appearance of acne affects personality development, especially during adolescence. It can shake a person's self-confidence.
Acne is a treatable skin disease. In patients who receive treatment appropriate to the type and severity of acne, improvement occurs if treatment is continued regularly. It must be used in a certain dose and for a certain period of time in order to prevent a certain recurrence of acne, and yet the chance of the disease recurring is around 30-40%. Then, treatments can be performed again with this drug or other drugs. Sometimes this medicine may not be suitable for use due to its side effects. In case of severe acne that recurs very frequently, an investigation should be carried out in terms of hormone disorder.
TREATMENT OF ACNE SCARES
Treatment of acne scars, type of scar and arranged according to depth. Instead of a single method, several methods suitable for the permission structure are combined. Using Ada provides better results.
Your treatment should be performed by your dermatologist. Please do not trust false promises. Nowadays, it is easier to solve acne, which overshadows the beauty of your face in your daily life and has the risk of leaving permanent scars in the long term, with patience and your dermatologist.
The scars left after acne are of three types:
•Superficial scars (spots-slight depression)
•Skin spots (pits)
•Keloid (puffy skin)
Superficial acne scars:
These scars are slightly red and slightly sunken from the skin. Sometimes brown colored changes may also occur. These types of scars do not require very deep procedures. Applying retinoic acid, fruit acids to the skin and superficial peeling procedures can remove such scars.
Deep acne scars:
In such scars, the lower layers of the skin are affected. They are deep scars that are quite sunken from the skin, initially red, and over time white. In such scars, a certain degree of improvement can be achieved by performing different and deeper procedures.
Keloid:
Keloid, a raised scar tissue that grows upward from the skin, is formed. It is mostly seen in the trunk area of men.
How to Get Rid of Acne Scars
It is much easier to prevent scar formation by treating acne. Having your acne treated is the most successful scar treatment.
Which method will be used is determined according to the prevalence, depth and type of acne scars. Several methods can be used together in the treatment of acne scars.
How to Get Rid of Acne Scars on the Face?
Treatments of sunken scars (atrophic scar)
1-Tretinoin (0.05%) -1)
2-Spot TCA method
3-Laser treatments:
a-Lasers that renew the skin without peeling -Fractional laser
c-Lasers that renew the skin by peeling
4-Chemical peeling
Removing acne scars with laser
Deep and superficial scars can be lightened by using laser skin renewal method. The laser method used in the treatment of acne scars is divided into two.
•Lasers that renew the skin without peeling (non-ablative laser)
•Lasers that renew the skin by peeling (ablative laser)
one. Lasers that renew the skin without peeling (non-ablative laser)
The fraction used in this method Lasers treat the lower layers of the skin without stripping the upper skin. Laser light heats the collagen in the skin and shortens the collagen bands. Thus, it tightens the skin and reduces acne scars. It stimulates the new collagen development created by the laser in the dermis. It refreshes the skin. After 4-6 sessions of application with fractional laser, there is a significant reduction in acne scars.
Fractional Lasers
Skin renewal with fractional laser cells in small areas on the epidermis. new. During this renewal, spots on the epidermis can be removed. On the lower skin, it causes heat damage in columns and triggers the formation of new collagen in these areas.
In fractional laser applications:
•There may be a slight redness and edema after the procedure. . There may be slight peeling and tanning on the skin. However, such conditions regress within 3-7 days.
•Fractional laser treatments are performed in sessions. Depending on the type of complaint, it can be done at intervals of 2-4 weeks. An average of 3-6 sessions may be required.
•Complaints after the operation are mild and temporary. After the procedure, a feeling of sunburn may be felt for about an hour.
•Make-up can be applied after the treatment.
•Light moisturizers can be applied after fractional laser.
•If there is edema on the face. Cooling with ice packs is useful.
•After fractional laser, sunbathing should be avoided and sunscreen should be used.
Situations in which laser treatments should not be applied:
Situations in which lasers should not be applied without peeling the skin:
oThose who have recently tanned by sunbathing or solarium
oEpilepsy, use of drugs that cause light sensitivity, pregnancy
oPatients receiving unrealistic treatment expectations
2.Lasers that renew the skin by peeling (ablative laser)
Lasers that renew the skin by peeling are effective by peeling the upper layer of the skin. CO2 laser and erbium (YAG) laser are used for this purpose.
Lasers that peel and renew the skin (ablative laser) are not preferred today. Their most important disadvantage is the long recovery period after treatment. There is redness and edema in the first week after treatment and requires wound care. Post-operative edema 3-4 It starts to decrease day by day. However, the redness is very noticeable in the first week. It takes a few weeks for it to subside. There is a risk of scars, stains and infection after the operation. To hide post-laser redness, it may be necessary to cover it with make-up for weeks. The possibility of allergy increases due to epidermis damage. Dense dressing materials can trigger acne. Color may lighten or darken in the areas where the laser is applied.
Dermabrasion
In the dermabrasion method, the skin is sanded with the help of a tool. By sanding the rough areas on the skin, level differences in the skin are eliminated. Fresh skin is formed in this area again and the skin is renewed. The results of dermabrasion are effective and permanent. With the formation of new skin, a normal skin appearance is gradually achieved. The skin may remain pink or red for a long time. It may take up to 12 weeks for the redness to disappear.
You can return to daily life 15-20 days after dermabrasion. However, one should not sunbathe or be exposed to direct sunlight for 3 to 6 months after the procedure. Sunscreen should be used.
Dermabrasion is not applied during the acne-prone period. After the acne treatment is completed, it is applied for the remaining scars.
The risk of side effects is very low if it is done in experienced hands.
Filler applications:
Fillers are injected under the skin. , sunken acne scars can be improved.
The ideal filler should be compatible with human tissue, easy to apply, permanent and without side effects. Fillers correct sunken acne scars by filling them in.
Fat Injections
The patient's own fat is removed from the body by liposuction or thick-tipped needles. The extracted fat is injected under the skin. The stay may be 6-18 months. After oil injections on acne scars, the permanence rate of the given oil was found to be 30% after 12 months.
Peeling:
Light, superficial chemical peelings are effective on superficial scars. In superficial peeling, which is applied at intervals of 1-4 weeks, different concentrations of resorcinol, salicylic acid, lactic acid, pyruvic acid or glycolic acid are used. Deep peelings (50% TCA, phenol…) are used to remove deep acne scars. However, their effectiveness is lower than fractional laser scar treatment.
g- Micro odermabrasion
Microdermabrasion peels the skin and renews it by spraying crystals or water onto the skin surface with high pressure.
Microdermabrasion is a superficial peeling method. Therefore, it is ineffective on deep scars and wrinkles. It can be preferred for superficial scars and fine wrinkles due to its low risk and rapid healing process.
At least 5-12 sessions are required to get results from the treatment.
The redness caused by microdermabrasion on the skin is usually It will regress within a few hours. Microdermabrasion does not have the risk of stains that chemical peeling, dermabrasion and laser treatments carry. It can be used easily on people with dark skin. It can be easily used on the neck, which is an area that has a risk of scarring in skin peeling methods.
After microdermabrasion, it should be protected from the sun.
This method is used only on very superficial acne scars. It should be applied by a dermatologist.
Stem cell applications with mesotherapy and PRP treatment:
Mesotherapy method is used for acne scars. Mesotherapy repairs the skin by stimulating collagen production and can reduce acne scars. Mesotherapy mixtures that repair the skin include amino acids, minerals, vitamins, silicon, antioxidants, growth factors and hyaluronic acid. Mesotherapy treatment for deep acne scars can be performed to support other methods.
Stem cells are the main cells in the human body and repair damage in the area they are in. They transform into whatever type of cell and tissue is needed.
PRP. It is used in the treatment of wrinkles, skin renewal, scars and acne scars. The patient's own blood is taken and the plasma part, separated from the red blood cells, is applied to the skin with the mesotherapy method. This resulting plasma contains dense platelets (clot cells) and leukocytes (white blood cells) are also present. Leukocytes and activated platelets secrete growth factors. Growth factors trigger the migration and proliferation of stem cells. Thus, tissue renewal occurs. The most important advantage of the PRP method is that it is obtained from the patient's own blood and does not carry the risk of allergy.
Keloid treatment
Keloid is the development of excessive fibrous tissue (hard, raised skin).
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