A pimple is sometimes gone within a few days,
but what remains in the skin afterwards can be a lot
be visible for longer. Red spots, brown spots,
small dimples or skin that is no longer completely
feels smooth: it all becomes easy
called an acne scar.
Yet that is not the same. And precisely that difference
determines which treatment is sensible. A red spot
requires something other than pigment. A change of
I treat the skin texture differently than a
clearer change of the underlying
skin structure
That is why I do not start with the question of whether you IPL,
a pigment laser, microneedling, TCA or ResurFX
you need. First I look at
what actually remained in the skin.
Are they spots or real acne scars?
During a free introductory meeting, I look at
your skin and we discuss which treatment
fits with that.
Before the treatment, I first make a distinction between
color differences and
changes in texture or structure
of the skin.
Is the skin still smooth but do you see red, pink,
brown or dark spots? Then it is especially
The color changed.
do you see or feel pits, depressions or
an uneven skin surface?
Then the skin structure may also have changed.
Both can occur simultaneously.
So someone can have acne scars
and still see redness or pigment spots.
In that case, it can be logical to
various treatments in succession
to deploy. In the diagram below
you see which treatment options
I have that within Medicadermis.
Red or pink spots:
possible IPL.
After an inflammation, a red or pink
a spot remains while the skin
is simply smooth itself. This becomes
post-inflammatory erythema
(PIE) named.
That is not the same as a
acne scar.There is no drain
developed, but there is still redness
visible at the place where
previously had an inflammation.
When redness, especially on the
foreground and the skin
is suitable for that,
can I use IPL.
With the Lumenis M22
can be used lightly to
among other things hemoglobin in
superficial vascular structures
to treat.
IPL changes a deep
acne scar not suddenly
in smooth skin.
The goal here is precisely
another part
of the skin appearance:
the remaining color.
After an inflammation, it can also
extra pigment is produced.
As a result, a brown remains
or darker spot behind.
We call this
post-inflammatory
hyperpigmentation (PIH).
Especially skin types that easily
make pigment, can here
To suffer from it for a long time.
This is not automatic either.
a scar: when the
skin has remained smooth,
is mainly about
a change of color.
Not every brown spot
I handle automatically
in the same way.
With more superficial or
more diffuse pigment
IPL could be a possibility.
With clearly brown
or dark post-inflammatory
pigment spots can actually
the Q-switched
Nd:YAG 1064 nm pigment laser
be interesting.
The choice depends on, among other things,
depending on the color and location
of the pigment, the skin type
and how easily the skin
produces its own pigment.
With a darker skin type
I am extra reserved
with IPL.
Therefore, I determine the treatment
only after I have seen the skin.
With an actual acne scar
is not just the color,
but the skin itself changes.
There may be a case of
an irregular texture,
but also clearer
loss of skin tissue
resulting in a deepened
scar forms.
Some scars are
very superficial,
others are clearly
deeper. You can small
see narrow pits,
wider subsidence
or a more wavy
skin structure
Various
types of scars next to
prevent each other.
Therefore, the treatment is
rarely simply one
select device and
with that every scar
to deal with.
Microneedling is a way
for the skin checked
to initiate recovery.
With very fine needles
become microchannels
made in the skin.
The recovery response that
follows stimulates
among other things the formation
and reorganization
of collagen.
I perform microneedling
especially in when I
the texture of
the skin want to
improve. Think of
an uneven
skin surface, fine
pits and before that
suitable superficial
to moderately deep
acne scars.
Microneedling works
also in the deeper layers of the skin.
So it is not the case
that the treatment
exclusively to
the skin surface works.
In my choice of treatment
the emphasis is, however
especially on leveling
and improving the
visible skin texture.
How deeply I treat,
is aligned with
the skin, the scar
and the area.
Treat more deeply
is not automatically better.
TCA takes within this
treatments a
special place in.
With trichloroacetic acid
is a controlled
chemical reaction
generated in the skin.
Depending on the
application can I
thereby both on
texture as
on structure
work.
A TCA peel
can over a larger
skin area become
applied when
I the skin as a whole
wants to innovate and
wants to improve the texture.
But TCA can,
depending on
the type of scar
and the skin, too
targeted and local
be applied.
With that, I can
certain separate
cover floors.
TCA is in front of me
therefore between the
other treatment principles
in: I can do with it
working on a
more even skin texture,
but at a
targeted application
also to certain
changes in
the structure
of a scar.
Which application
and treatment depth
be suitable,
depends on
the type of scar,
the skin and
the reaction
which I expect.
When the structure
clearer of the skin
has changed, can
a fractional
laser treatment
a next
be a possibility
At Medicadermis
I use this for
the Lumenis
ResurFX 1565 nm.
ResurFX is a
non-ablative
fractional laser.
The laser brings
controlled
microscopic
thermal treatment zones
into the skin,
with intact tissue
in between.
With that, is
a recovery and
remodeling process
in the dermis
stimulated
I am turning on ResurFX
therefore especially in
when I get stronger
on the underlying
skin structure
and the remodeling
of collagen
wants to work.
Also ResurFX
can eventually
a smoother
give skin
The distinction
is not included
The thought that
microneedling
only superficially
works and ResurFX
only deep.
It concerns
the accent within
my choice of treatment:
with microneedling
lies mainly
on texture,
at ResurFX
especially on structure.
Summarized very simply:
I apply microneedling
especially for texture,
I can use TCA
for texture and
structure and
ResurFX especially
for structure.
That is not a hard one
dividing line.
All three
treatments
can processes
influence those
be involved
during recovery and
collagen remodeling.
In addition, I look
according to the form
and depth of
the scars,
how many scars
be present,
the skin type,
pigment sensitivity,
previous treatments
and how much recovery time
someone finds acceptable.
Sometimes one is
treatment technique
sufficient.
Sometimes it is just
a combination
or succession
more logical than
everything with one
treatment
try on
to solve.
Are you hesitating between microneedling,
TCA or laser treatment?
The shape and depth of
determine a scar
which approach is sensible
can be. During
a free introductory meeting
I assess your skin
and we discuss
the possibilities.
You can the texture
or structure of
improve the skin
and yet the feeling
have that the skin
still restless
looks
That happens regularly
because besides the
scars too
redness or
pigment differences
be present.
That is why I see
the treatment
of color and
the treatment
of texture
and structure
as different
parts of
the same skin appearance.
A trajectory
can, for example,
consist of
microneedling,
TCA or ResurFX
for the scars,
after which again
is being assessed
how much redness
or pigment
is still visible.
Conversely, it does not have to be the other way around.
that order
not for every
skin the same
to be.
The skin appearance
determines which
step first comes.
Not everyone wants to wait until red or brown residual spots
gradually fade or until a course of treatment yields results.
Of medical camouflage therapy
Visible color differences may temporarily become less noticeable.
This can be beneficial, for example, in the case of post-inflammatory erythema (PIE).
or post-inflammatory hyperpigmentation (PIH).
Camouflage does not change the cause of redness or pigmentation and
Does not flatten deep acne scars. For sensitive skin,
active inflammation or a recent peel, IPL, or laser treatment
I first assess which products are suitable and when you
can use safely
Then it changes
the order.
It has
little sense
to alone
behind the
scars
to enter into
when there
meanwhile
ever new
inflammation
to arise.
In that case
I'll check first
how we the
active acne
can be calmer
to get.
The basis can
consist of
clean,
clean out
and suitable
skincare
Depending on
the skin can
a peel
as an additional
treatment
be added.
When inflammatory
acne more on
the foreground
state and the
skin suitable
is, can also
IPL with the
Lumenis M22
to be part of
of the
treatment plan.
Only when
the acne
sufficient
is quiet,
becomes clearer
what really
is left behind.
Sometimes something turns out
of which someone
has been thinking for years
that it a
scar is,
especially redness
or pigment
to be.
Sometimes I see
especially a
change
of the texture.
And sometimes are
clearer
atrophic
scars and
color differences
present.
During a
free introductory session
I evaluate
which changes
with your skin
in the foreground
to stand.
Then discuss
which treatment I
can be suitable,
what you from that
reasonably
you can expect
and when
I a treatment
precisely not
find meaningful.
What is left behind after the acne?
Brown or dark spots:
depending on the skin IPL or
Q-switched pigment laser.
Irregular skin texture:
including microneedling.
Texture and structure:
depending on the scar TCA.
Clearer changes
of the skin structure:
among others ResurFX.
Red and pink spots after acne
IPL for red residual spots
Brown and dark spots after acne
IPL or pigment laser for pigmentation after acne?
When do we actually speak of an acne scar?
Microneedling: primarily focused on texture
TCA: working on texture and structure
ResurFX: primarily focused on the underlying structure
Microneedling, TCA or ResurFX?
Color and structure can both be treated
Temporarily camouflage red and brown acne spots
What if you still have active acne?
Look first, then treat
Read more about acne, spots, and scars