Acne scars treatment What's Up?
It has been written that ‘‘there is no single disease which causes more psychic trauma, more maladjustment between parent and children, more general insecurity and feelings of inferiority and greater sums of psychic suffering than does acne vulgaris.’’ Acne scars lead to emotional debilitation, embarrassment, poor self-esteem, social isolation, preoccupation, low confidence, altered social interactions, body image alterations, identity difficulties, anger, frustration, confusion, unemployment, lowered academic performance, exacerbation of the psychiatric disease, anxiety, or depression. Treatment of the real scars resulting from acne must reflect several considerations by the physician. Cost of treatment, the severity of lesions, physician goals, patient expectations, side-effect profiles, psychological or emotional effects to the patient, and prevention measures should all play a role. The purpose of any intervention is for improvement, not for a total cure or perfection. The therapies/techniques used for the treatment of acne scars are to be individualized, taking into consideration many factors like age, gender, Fitzpatrick skin phototype, site of injuries, clinical type of acne scars, grading of scars, socioeconomic constraints, psychological and physical health of the patient, etc. Various treatment modalities available for acne scars are topical therapies, chemical peelings, micro-needling or microdermabrasion, subcision, autologous ⁄ non-autologous dermal fillers, fractioned ⁄ non-fractionated lasers, ablative/nonablative lasers, pigment or vascular-specific lasers, pigment transfer techniques, and minor surgical procedures. Many times, a combination of these modalities must obtain satisfactory results in an individual patient.
