In short, yes. Depending on the type of acne scar, different modalities may be utilized, but overall, I have found that laser treatments are the most effective option for the majority of acne scars. The two best laser devices on the market for acne scars are Fraxel 1550 and PicoWay Resolve. PicoWay Resolve is safe in all skin types as it does not heat or break the surface level of the skin. Fraxel 1550 delivers heat to the top layers of the skin which can be beneficial in stimulating collagen, but increases the risk of hyperpigmentation (dark areas of skin) in darker skin types. This risk can be mitigated with pre- and post-treatment Tretinoin and hydroquinone, but which laser is most appropriate for your skin type should be assessed prior to treatment by a board-certified dermatologist or plastic surgeon.
Newer formulations like EltaMD and CCMD sunscreens (my branded sunscreen) contain nanoparticle zinc and titanium that rub in clear rather than leaving a white film. For acne scars not flush with the skin, they typically do not fade on their own. Collagen in the skin needs to be remodeled or stimulated to correct for these structural deformities in the skin.ĭiscoloration from acne is called post-inflammatory erythema if red and post-inflammatory hyper-pigmentation if darker than normal skin tone. This discoloration of the skin that is flush with the skin is caused by the inflammatory cells that attack the overgrowth of bacteria, oil and dead skin clogging the pore. Even after the acne has resolved, this pigment change remains though will fade with time. Sun avoidance and protection are important is helping this pigment change fade more quickly. If the areas of post-inflammatory erythema or hyper-pigmentation are exposed to sun they persist longer. Sunscreen that is SPF 30 or higher, broad spectrum and ideally mineral is recommended. When discoloration is the issue and the “scar” is flush with the skin and there is no surface irregularity, these do resolve on their own with time and sun avoidance.
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