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Start by taking a look at the Scars Page here on Acne.org. Learn about your options. Then if you still have questions, feel free to read below.

Frequently Asked Questions - Scar Treatments

Disclaimer: The information below is provided as a courtesy to address general questions. As we are not medical professionals, we cannot be held responsible for the accuracy of this information. By reading this information, you agree not to hold us liable for any damages that may result in your use of this information. This information should not replace information that your Doctor or Plastic Surgeon provides you. Please keep in mind that this is for general information only and results will vary for each individual.

Q: How can I prevent my acne from scarring?

A: The best way to prevent scarring is to prevent the acne that causes it. See http://www.acne.org/regimen.html

For extremely severe, widespread acne, you may choose to see a dermatologist to inquire about Accutane.

Q: What is the Lemon & Vinegar Method?

A: This is a method that may improve the appearance of shallow, rolling scars. Drink either Robinson, Lemon Barley Water or plain water with half a teaspoon of lemon juice to a full glass of water throughout the day. It is best to use fresh lemons if possible. Use any diluted vinegar (organic apple cider if possible, malt or white are also acceptable) in warm water to splash onto the face day and night. You may have to experiment to find the right combination of water to vinegar. Try diluting it 1 part vinegar to 4 parts water to start with. First wash your face with your normal cleanser, and then apply the vinegar (dab the solution on with cotton balls and leave on) before other topicals/moisturizers (apply topicals 20 minutes later). You should see an improvement within a week or two.

For more information, read this thread:


Q: Can you describe the different types of scarring? scar types:


·Icepick: Looks like an ice pick has been pressed into the skin. It is generally small in diameter, but can be shallow or deep.


·Boxcar: Looks somewhat like a chicken pox scar with more rounded edges. It can be small or large in diameter and is fairly deep, though not usually as deep as icepick scars.


·Rolling: Looks like a smooth indentation in the skin. These scars can be deep or shallow, but are generally shallower.


·Macules: These are most common on the back, chest and arms. They are small areas of hairless scar tissue that will initially be red but will usually fade to pale ivory within 1-2 years. They can be raised (hypertrophic) or indented (atrophic).


For further information on scar types see: http://www.acneguide.com/tf/content.asp?z=78

There are two basic types of Raised scar types:

* Hypertrophic scars - are scars that are raised above the skin surface but remain within the boundaries of the original injury.

* Keloid scars - which are raised scars that extends BEYOND the boundaries of the original sore, blemish or injury. It is scar tissue gone wild. It can continue to grow. Some people are genetically prone to keloid scarring. There is a specialist forum for keloid scars: http://www.keloid-scars.com/index.htm

Q: What is Skin Needling (aka needle dermabrasion, aka dry tattooing or tattooing without pigment)?

A: This is a technique whereby a Dr. or Tattoo artist uses either a hand tool or a tattoo machine to “needle or “tattoo the skin without using pigment (water can be used in place of ink). This is said to "break up" the scar tissue thereby smoothing the appearance of the skin.

NOTE: It is possible to “needle yourself, but there are risks associated with this. Also, results are generally not as pleasing. It is best to see a specialist whenever possible.

For more information, read this thread: http://www.acne.org/messageboard/index.php...amp;hl=needling

Q: Is Elicina effective in reducing the appearance of scars?

A: There are varying reports on this but it appears that a majority of users who have tried it have said “no. In general, topical solutions are not sufficient to affect moderate to deep acne scarring.

Q: Can I get rid of my scarring through the use of topical solutions alone?

A: As mentioned, most people with moderate scarring do not find that topical solutions have a significant effect on their scarring. However, they can help lessen scars if used in the healing stage. Please read this thread for more information:


Q: What is the difference between ablative and non-ablative lasers?

Definition of ablate from dictionary.com: "To remove by erosion, melting, evaporation, or vaporization."

Ablative lasers are much more invasive than non-ablative lasers. Ablative lasers are not recommended for use on darker skin colors.

Examples of ablative lasers:

- CO2

- Erbium: Yag

Non ablative lasers do not remove layers of skin, but instead penetrate through the skin in an attempt to stimulate collagen growth from underneath the surface of the skin. Non-ablative lasers are detailed later in this document.

Q: Will ablative lasers (CO2 or Erbium) reduce the appearance of my scarring?

A: It is possible that it will reduce the appearance of your scarring but it can come with a hefty price tag, a signficant amount of downtime and a risk of new scarring.

Q: What are the different types of non-ablative lasers and how can they reduce scarring?

A: There are several different types of non-ablative lasers. There is some controversy as to whether or not the appearance of scarring can be greatly reduced by the use of them. It is best for you to speak to your Dr. and to research the various laser treatments available to you. Here are examples and links to information about them:

SmoothBeam: http://www.candelalaser.com/Smoothbeam2/sb_photo_acne.asp

thread on acne.org: http://www.acne.org/messageboard/index.php?showtopic=8140

PLEASE READ THIS THREAD FOR MORE INFORMATION ON SMOOTHBEAM ON DIFFERENT SKIN TYPES: - http://www.acne.org/messageboard/index.php?showtopic=17315

N-Lite: http://www.facialplasticsurgery.net/nlite.htmhttp://www.wrinklereduction.com thread on acne.org: http://www.acne.org/messageboard/index.php...3&hl=n-lite

CoolTouch II: http://www.cooltouch.com/products.html

IPL: http://www.intensepulselight.com/equipment.html

Q: Will dermabrasion reduce the appearance of my scarring?

A: It is possible that it will reduce the appearance of your scarring but it may come with a hefty price tag, a significant amount of downtime and a risk of new scarring. We suggest that research should be done before proceeding with such an invasive procedure. In addition, this is generally not a good option for darker skin tones.

See these thread for more information: http://www.acne.org/messageboard/index.php...hl=dermabrasion


Q: What is subcision? Will it improve my scars?

A: Subcision is a method whereby a Dr. uses a "Nokor" needle to break up the scar tissue underneath the surface of the skin. It is said to be best for “rolling scars that are “bound down. Bound down scar tissue looks smoother when the skin adjacent to the scar is pulled tight. Some peoples’ scarring has improved by this method, others have had minimal or no improvement, and others have had their scarring deepen (though this seems to be more rare). Please see your Dermatologist for further information on this procedure.

For more information, check the following thread:


Q: Is there anything I can do to optimise my healing responses following invasive scar procedures?

A: Yes. Through a healthy diet and safe supplementation, you can improve your body's wound healing response effectively. Please read the following thread for more information:http://www.acne.org/messageboard/index.php...t=0#entry778539

The following site may also be of some interest: http://www.beautysurg.com/learn/general_healing.html

Q: What is the "Dermaroller". Can it improve scarring?

A: The Dermaroller is an instrument that has tiny needles embedded in it that is rolled across the surface of the skin. It is mainly used for better absorption of topical treatments and does not appear to actually break up scar tissue. For more information, read this thread: http://www.acne.org/messageboard/index.php...ard/index.php...

Q: Can "Copper Peptides" improve scarring?

A: Copper Peptides may be able to improve the appearance of scarring by stimulating collagen production after a more ablative procedure such as needling. Copper Peptides are a topical treatment and therefore results will vary for each individual.

See this thread for more info:


Q: How can I get rid of my red marks / hyperpigmentation / brown marks / dark marks?

A: There are several different approaches to help this process. You may have to experiment to find which works best for you. The effectiveness of these treatments varies and they may have to be used in conjunction with other treatments for best results:

Prescription approach:

* Generally recommended: A Retinoid (i.e. Retin-A) & Hydroquinone*

Non-prescription approaches:

The tape method of exfoliation

The vinegar method of exfoliation

Apply an Alpha Hydroxy Acid peel (i.e. Lactic Acid, Glycolic Acid, TCA, etc.)

Apply a Beta-Hydroxy Acid solution

Vita-K for Blotchy Skin

Mandelic Acid Serum

All about lasers:


Chemical Peels explained: http://www.lasernews.net/lasernews/laserne...8A?OpenDocument


Q: Will Microdermabrasion reduce the appearance of scarring?

A: It is generally thought that Microdermabrasion cannot penetrate the skin deeply enough to affect the appearance of moderate to deep scarring. It is a great method of exfoliation, however and it is possible to reduce very shallow scarring by repeating this procedure in a series of several treatments.

For more information, check out this thread: http://www.acne.org/messageboard/index.php?showtopic=191

Q: What are injectable fillers and how can they reduce the appearance of scarring?

A: There are many types of injectables used for augmentation. It has been shown that once they are injected into the skin, they can raise the surface of the scar. Unfortunately, most of the injectables widely available are not considered permanent. In addition, some are not available in all countries. Here is a list of some of them to get you started in your research:

Isolagen: http://www.isolagen.com/ thread on acne.org - http://www.acne.org/messageboard/index.php...6&hl=n-lite

Fat (harvested from your own body) - See your Dr. for further info

Fascian: http://fascian.com/

Restylane: http://www.restylane.com/

Collagen (Zyderm/Zyplast): http://www.inamedaesthetics.com/

Artecoll: http://www.artecoll.com/

Aquamid: http://www.aquamid.info/

AlloDerm: http://www.biohorizons.com/alloderm.htm

Here is a thread on various types of fillers: http://www.acne.org/messageboard/index.php...c=19162&hl=

Q: What is the TCA CROSS Method?

For more information, read this thread:


Here is a link to the TCA cross article in full text on Rapaports website:

TCA Localized Peeling: http://www.cosmeticskin.com/skin-acne4.shtml

Q: What is the difference between TCA CROSS and a TCA peel?

TCA CROSS is a method whereby a Dr. or skilled practitioner uses a high percentage of TCA Acid and spot treats each scar. This procedure is especially beneficial for ice pick scarring. TCA CROSS is something that should be done by a skilled practitioner because the risk of damage to your skin can be great. TCA peels are of a much lower percentage than TCA CROSS. TCA peels are done by Dermatologists and Aestheticians and affect hyperpigmentation and more shallow scarring.

Q: What is Punch Excision & Dermal Grafting?

A: Punch Excision is a procedure whereby a Dr. will use a tool to “punch out the scar and then sew the remaining skin together. Dermal grafting is a procedure whereby a Dr. removes skin from a different part of your body (usually from behind the ear) and places it into the scar. Ice picks are often treated this way.


Q: How can lighting effect the appearance of acne scarring?

A: Lighting can have a tremendous effect on the appearance of acne scarring. For further information, please see this thread:


Q: My scars are raised, not indented. What type of scarring is this and how can it be treated?

A: This is called hypertrophic (aka keloid) scarring and can be treated with silicone sheets (OTC) or cortisone injections (provided by Dermatologist). http://www.cicacare.com/

Q: Is it okay for me to treat my scars while I am on Accutane?

A: No, it is suggested that you wait at least 6 months to a year to treat your scars after taking Accutane. Some individuals have reported that they seem to scar more easily while taking Accutane.

Q: What is the tape method of exfoliation?

A: This is a method whereby a piece of scotch/gift tape is applied to the surface of the skin and then gently removed. Once the tape is removed there may be pieces of dead skin that remain on the tape. Take care in using harsh topicals when this method is employed, as they will most likely irritate the skin moreso than if tape were not used.

For more information, check out this thread: http://www.acne.org/messageboard/index.php?showtopic=1320

Q: What is exoderm and will it help with my scarring?

A: [Edit: Many recent exoderm patients have complained about lack of effectiveness of this treatment with the side effects of more scarring and larger pores] Exoderm is arguably the most extreme form of scar treatment that you can undergo, and consequently, some people that have undergone the procedure have reported tremendous improvement in their scarring, as much as 90%. Other's have said it did not do anything even for their shallow scarring. However, the procedure is extremely intense. Here is a description:

Exoderm Lift is the result of medical research over many years and is composed of 12 components, including phenol, resorcin, citric acid and a variety of natural oils ... The procedure is based on liquefaction of the skin, followed by stimulation of new collagen and elastic fibers growth which creates the "internal lifting". A new lifted skin is generated which gives the patient a 10 year younger appearance.

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Thank you for taking the time to put that whole question and answer dealie together. You really targeted the frequently asked questions. =D> Hopefully that will put an end to the non stop repeater questions.

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This board is amazing...

Thankyou Tamara and Maya for taking a great deal of time to help fellow sufferers. You are VERY considerate! :-

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Good work!!! Great for those that cant spend lots of time surfing at home and what to know about new procedures AND the outcomes without going through all the bits!!!

Fantastic :)

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I hope everyone takes the time to read the FAQ till the bottom - I have explained how to search this site - it will help a lot if you have specific questions about a specific procedure.. and it saves duplicating information and spreading good information thinly.

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here is a picture of excision:



excision pictures, do search picturs and scar revision and skin cancer:




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All this info is amazing. I wish I knew about it earlier. THe info on lasers and other treatments gives me knowledge which keeps me from getting furhter scarred and ripped off.

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You are one amazing lady! Thanks for this link.......I know how long it must have taken you to put together, but you provide the information so wonderfully for all the new people who are coming here!

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Hi, there was one that was left out - "punch elevation". This is different from punch excision. For excision, the skin is taken out then sown up. For elevation, a circular device is put on the skin, then cut into it, but the skin is not taken out - instead it's elevated, then left to heal.

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Contack aquamid distributor by the 50 countries(where you live)and inquire doctors who undergo this procedure:


------------------------------------------------------------------------------------------------In the U.S i know 2 states perform AQUAMID:

Chicago illionis:


New York City named dr. Grossman who does aquamid


DONT WORRY ABOUT THIS FILLER, coz this is safe and will absorb years, it is not permanete but a long lasting filler(absorbs many years)...

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i just joined today, but could i suggest looking into adding azelaic acid (available in Px and OTC forms) be added to the FAQ list for reducing hyperpigmentation? (especially post-inflammatory) ... it is believed to specifically target hyperactive melanocytes and leave normal ones alone - although there is of course some risk of hypopigmentation, but that goes for all skin-lightening substances/procedures. i have had fantastic luck with this stuff in the form of the prescriptions azelex/skinoren (20%) and finacea (15%), and i know many people have had luck fading dark spots with OTC versions such as Jan Marini's Bioclear Lotion (2%), though i have yet to try this particular product myself.

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Also, you could use other topicals following microdermabrasion to improve results - Copper peptides available here and Amino-plex spray available here are two excellent topical solutions that people have had good results with. Copper peptides are supposed to work most effectively following an exfoliating procedure such as an acid peel or microdermabrasion.


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i am so glad to have found your forum. I am desperate. My skin, ravaged from severe cystic acne in 1983, has had dermabrasion, 3 full face co2laser trmts., skin grafting, and numerous peels, etc., yet, it is far from smooth. I am so upset. I would be considered attractive if not for these scars. I don't know if it's the procedural regimen or the md's skills that may have affected my outcome. I have two questions: 1. this exoderm, has it been effective in patients who've run the gammit of trmts.? and2. Is there not a way for medical insurance to cover these trmts./surgical procedures? If I'd gotten these scars going through a windshield, they'd be covered and not considered, "cosmetic?". Acne scarring is by no means, cosmetic, and I cannot believe it is still termed as such. Is there anything that can be done to help bring about a change in this perspective? I'll sign whatever form or petition to ammend this harsh and unfair treatment of patients with acne scarring.

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This post has become my bonus supplemental FAQ. smile.gif

Here are some places that sell peels that people have recommended.




100% TCA and other peels




How to post pictures

Click on My Controls at the upper right.

Under Menu, Invision Gallery, click on Your Albums.

Click on Create Album

Go to your Album, and click Upload Image.

After you upload it, View it, click on it, then right-click on it and select properties.

Under Address (URL), highlight the filename and use ctrl+C (or right click and select copy) to copy it.

When you are posting, select the button that says IMG, (it inserts an image tag) and ctrl+V to paste your image filename (or right click and select paste)


Fitzpatrick Phototype (skin types)


Skin Type I - Never tans, always burns

(extremely fair skin, blonde hair, blue/ green eyes)

Skin Type II - Occasionally tans, usually burns

(fair skin, sandy to brown hair, green/brown eyes)

Skin Type III - Often tans, sometimes burns

(medium skin, brown hair, brown eyes)

Skin Type IV - Always tans, never burns

(olive skin, brown/black hair, dark brown/black eyes)

Skin Type V - Never burns

(dark brown skin, black hair, black eyes)

Skin Type VI - Never burns

(black skin, black hair, black eyes)


This is not at all scientific, but I will go ahead and estimate a timetable for TCA Cross treatment intervals. This is based on age and only on healthy skin for a non-smoker that has not had any harsh resurfacing treatments in the last year or two. If you use a high percentage of TCA and are aggressive enough to cause a noticeable scab, you may want to add a week to this. I am not a doctor and I don’t advise anyone to self-treat.

Age 00-20 4 week minimum

Age 20-30 5 week minimum

Age 30-40 6 week minimum

Age 40-50 7 week minimum

Age 50+ 8 week minimum

Edited by oldguy

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Hey guys thanks for replying, i am really confused in what i should do next, here is the full story anyways......

i have developed acne since i was 16 and was only very very mild from 16 to 17 years old,but then once i hit 18 and just about to start uni it came bursting out like hell,at the time what i thouht caused it was the lack of sleep i was getting every night. Yes i had insomia for over a year, it was hell even my breakouts of actual lumpy spots was during that period. But the in december 2003 i started roaccutane and was on 75mg a day 1 mg per my body weight.

At the start i didnt see any different although my friends was telling me that my face does look alot clearer, I was still suffering from insomia at this time, but then the sleeping got better into the 3rd month of taking roaccutane and then my spots started to clear up tremendously.

Ok so after four months on 75mg a day i was finally done in march 2004,and my face was completely free of spots, but just had a lot of red marks that was flat not raised at all, so i thought nothing of it and thought it wud go away in a few months.

ok so come the 2004 summer and i was alot and much better with my redmarks but there were also one or two spots poping now and then say one spot every 2 weeks.

sorry guys guys i know this is a long story,lol, but just want to let u knw my stituation and to see if anyone else have had similar cases and is now cured.

OK oK so back to the story, then come october time and the worst has happened my worst nightmare since curing of acne,they came back only this time my sleeping did not help a single bit with calming it down.

Especially my red marks left from the new acne did not seem to go down even after a good 10 hour sleep, sometimes it would go down but only in the morning and would completely red at night along with uncomtfortable eyes that was blood shotted. Ok So enough was enough at this time i was really depressed cant belive i am coping with bad skin again,so I am now seeing a Dermatology in Hong Kong and he is suppose to be famous as he is one of the best three in hong kong,aint so sure,lol. But he has prescribed me with 20 mg a day now along with antibiotics and the result so far is good,but new spots are still poping up but it is mainly my red marks on my cheeks that can look the worst, and sometimes it still goes out of control even thou i am on roaccutane rite now,but considering i have dropped frm 75mg a day to 20 mg a day now,so i dont know.

He also told me that i might have a slight case of rosacea,so i dnt knw wether it was the first roaccutane that has bought this on and u knw how i was getting the blood shotted eyes and like they were watery all the time i think it may of been the rosacea.


THANK YOU GUYS!!!!!!!!!!!

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i think that someone needs to make a sticky thread about how dangerous TCA can be! it's *really* strong stuff.

i see a lot of younger people messing up with TCA on this board because they didn't take enough time to research it. it's really worrisome.

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I want to know if anyone in this site has ever tried ELICINA CREAM

You can check it out at www.abateacne.com, for pitted indented scars.

Im not recommending it, for I havent tried it myself. Just doing research... :razz:

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