You have a mixture of ice pick, rolling and box acne scarring. "Ice pick" scars - the narrow, deep scars are the hardest to treat by any method.
The other types can be treated with Dermaroller medical skin needling.
The deepest / largest scars would probably need an extra procedure just before the skin needling called Subcision - where a sterile needle is repeatedly passed at a shallow angle through the scar from its edge passing through the centre. This helps to cut the "anchors" of the collagen scar tissue and free up the scar so that the new collagen stimulated can form beneath the pitting and "push" it up to smooth out.
Genuine Dermaroller treatments can incorporate the use of a specific dermastamp tool which has vertical needles to target a specific scar before needling with their rollers.
The dermaroller skin needling is then done all over the face.
Several treatments will need to be done to see a real improvement.
Unlike ablative laser treatment - which effectively burns off the upper layers of skin - there is almost no downtime, minimal infection risk and far less chance of post treatment / inflammatory hyperpigmentation (dark patches) from forming.
Clients with darker skin colour should consider this risk with resurfacing treatments like laser or deep peels. Pigmentation could take several months to correct.
Skin has to be protected from sunlight for several months after laser or deep peels.
With dermaroller skin needling there is far less risk of pigmentation forming and the skin is not particularly sensitised to sunlight. However I always endorse the daily use of a UVA/ UVB sunscreen!
Diane Nivern LLSA MIFPA
Diane Nivern Clinic Ltd,
0161 796 1169
http://www.dianenivern.comTwitter @dianenivern
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