Jump to content
Acne.org
Search In
Find results that contain...
Find results in...

Recommended Posts

Hi everyone! This is my first post here but I've been lurking for a bit. I have had mild-moderate acne for as long as I can remember. I'm finally seeing the light at the end of the tunnel when it comes to my acne, but I have some pretty deep scars only on the right side of my face somehow. I'm on epiduo right now to clear my acne but was thinking of asking my derm if I could switch to tretinoin now since I've heard it tends to address texture/scarring better. I'm also interested in treating my scarring with professional treatments. It seems like I have a mix of primarily ice pick and boxcar scars along with large pores, all of which amount to this pretty gnarly orange peel texture lol. Would love to hear about the experiences that any of you have had with treating acne scars that might be similar to mine. Thanks in advance!

6bwf583xm8261.jpg

Edited by anacharacter222
added tags
Link to post
Share on other sites
20 hours ago, anacharacter222 said:

Would love to hear about the experiences that any of you have had with treating acne scars that might be similar to mine. Thanks in advance!

I can see the boxcars, but I can't really tell how deep they are. Can you take another pic, this time considering the instruction outlined below?

Consider taking a picture using the angle-lighting approach as shown in the picture below. This will create a heavy shadow that will accentuate the scar for better evaluation. This can be done by pointing a bright light perpendicular (90-degree) to the angle of the lens. So if you're shooting the side of the face, you would point the light from either the front or the back of the face.

Also don't shoot so close that it only shows the cheek. Try to include other parts of the face (eg. nose, mouth and/or ear). This will give better perspective of the scar size.

 

image.png.e235ad914ccddcb765af7612633aeacc.png

Link to post
Share on other sites
9 hours ago, anacharacter222 said:

Ah okay, thanks! I tried my best to capture the depth, hope these might provide more clarity?

Hi, you have mostly boxcar scars. What is so characteristic of the boxcar is that it has a prominent edge. As such, a shadow is created around the scar whenever light reflects off the edge, thereby accentuating the scar. So the most effective way to treat boxcar is to fade out these edges. To this end, I suggest TCA cross. You'll need to use higher concentration, at least 50% to achieve the desired outcome. 

Go find a qualified dermatologist.

Link to post
Share on other sites
4 hours ago, Sirius Lee said:

Hi, you have mostly boxcar scars. What is so characteristic of the boxcar is that it has a prominent edge. As such, a shadow is created around the scar whenever light reflects off the edge, thereby accentuating the scar. So the most effective way to treat boxcar is to fade out these edges. To this end, I suggest TCA cross. You'll need to use higher concentration, at least 50% to achieve the desired outcome. 

Go find a qualified dermatologist.

Thank you so much, this is very helpful! I'm going to bring this up with my derm/look for derms who are more specialized in acne scar treatment in my area. I was also curious about microneedling and chemical peels just for general skin texture and hyperpigmentation. Do you think some of the shallower scarring could improve with those? Honestly, I have a few deeper scars but I'd be pretty happy if I could at least eliminate the overall appearance even if some of the deeper ones are still harder to diminish.

Link to post
Share on other sites
18 hours ago, anacharacter222 said:

I was also curious about microneedling and chemical peels just for general skin texture and hyperpigmentation. Do you think some of the shallower scarring could improve with those?

From what I can tell, uneven skin texture is actually from the shallow boxcar scars. It's possible to see some improvement from microneedling and chemical peels (except TCA), but I wouldn't count on it too much. 

Link to post
Share on other sites

I would imagine microneedling would work well. But keep in should you must apply vitamin A and C to get good results, as they're the building blocks to repairing skin and also producing new collagen. A study showed that doing so improved results fourfold.

Also, keep in mind the types of vitamin A and C you use after needling should be the less irritating types. Avoid the acids as they're irritants.

Edited by Nick Corona
Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


  • Personalized Advice Quiz - All of Acne.org in just a few minutes


×