Skin grafting may be necessary under certain acne scars conditions, for example, sometimes dermabrasion unroofs massive and extensive tunnels (also called sinus tracts) caused by inflammatory reaction to sebum and bacteria in sebaceous follicles. Skin grafting may be needed to close the defect of the unroofed sinus tracts.
Skin Surgery. Some ice-pick scars may be removed by excision of each individual acne scar. In this procedure each acne scar is excised down to the layer of subcutaneous fat, the resulting hole in the skin may be repaired with stitches or with a small skin graft. Subcision is a technique in which a surgical probe is used to lift the scar tissue away from unscarred skin, thus elevating a depressed acne scar.
Laser Treatment. used to recontour acne scars tissue and reduce the redness of skin around healed acne lesions. Tissue may actually be removed with more powerful instruments such as the carbon dioxide laser. In some cases, a single treatment is all that will be necessary to obtain permanent results.
Treatment of keloids. Surgical removal is rarely used to treat keloids acne scars. A person whose skin has a tendency to form keloids from acne scars damage may also form keloids in response to skin surgery. Sometimes keloids are treated by injecting steroid drugs into the skin around the keloid. Topical retinoic acid may be applied directly on the keloid. In some cases the best treatment for keloids in a highly susceptible person is no treatment at all.
In summary, acne scars are caused by the body’s inflammatory response to acne lesions. The best way to prevent scars is to treat acne early, and as long as necessary.




