Squeezing blackheads and pimples can leave scars that are called acne scars. They may be small holes in the forehead, cheeks, sides of the face and chin, which do not disappear on their own, and for that reason they may need specific treatment.
The treatment against acne scars can be done using creams and remedies that should be applied to the face daily, but other options include acid peeling, micro-needling, laser and filling, for example. See how these treatments are done and which one is the best option for each case:
1. Creams and remedies to apply on the face
In most cases, dermatologists may indicate the use of creams that promote collagen formation, which should be applied every day, after cleansing the face appropriately.
- It is good for: Teens and young people who still have pimples and blackheads on their face. Treatment is usually time-consuming, because new blackheads and pimples are being constantly produced and so treatment must be continued over a long period of time. Therefore, at this stage you should do skin cleansing at a beautician every week and use the creams and lotions indicated by the dermatologist daily, to keep the skin clean, moisturized, without blemishes or scars. When an adolescent has a lot of pimples, and it is possible to observe that they are getting scars on the skin, it is necessary to redouble the treatment of acne, in order to prevent scaring.
2. Dermabrasion or Microdermabrasion
This type of exfoliation is done with a small equipment with a diamond tip or aluminum oxide crystals, which 'squeeze' the skin removing its outermost layer, leaving the face thinner and more uniform. This will increase the performance of fibroblasts and the production of collagen that gives firmness to the skin, and the result is firmer and smoother skin.
By removing the outer layer of the skin, there is better absorption of acids and creams that complement this treatment, although microdermabrasion can be done on its own.
- It is good for: People who have acne scars, which form small undulations on the face, this being the most common type of acne scar. The downside is that it is necessary to do this type of treatment every week and the exact time treatment will take is uncertain. But this type of exfoliation aids in skin regeneration, leaves it more firm and allows moisturizers to penetrate better, having faster results.
3. Acid peeling
Acid peeling consists in applying acidic substances directly to the skin that needs treatment and letting it act for a few minutes. As a result the skin peels off and a new layer of skin is born, firmer, without blemishes and smoother. This kind of treatment is harsh, but it can eliminate even the deepest scars of the skin, definitely.
- It is good for: People who no longer have blackheads or pimples, that are over 30. It is an excellent choice for those who have many scars on the face, with various depths. The number of sessions required varies, but the maximum amount is around 15, performed once a week.
4. Micro-needling with a DermaRoller
This treatment consists of passing the DermaRoller, which is a small scroll filled with small needles lined up, all over the region with scars, in the vertical, horizontal and diagonal directions. The small needles will penetrate all of the skin, causing small wounds. When they heal they will form a more uniform and smooth skin, because this technique promotes the increase of new collagen fibers in the injured skin.
- It is good for: People who have acne scars, to a mild or moderate degree, that have no blackheads or pimples, and that support the discomfort caused by the sliding of the needles on the skin. One advantage of the DermaRoller is that it can be purchased at beauty stores or the internet, and can be applied at home, although better results are achieved when the treatment is done with experienced professionals.
Treatment with various types of laser are indicated to remove acne scars, good examples are CO2 lasers, Er-Yag and Nd: YAG, for example. This treatment consists in the therapist positioning the laser in the area that needs to be treated and it will issue some shots, which cause small pain or discomfort. The laser makes changes to the collagen fibers, leaving the skin smoother at the end of the third session and the results last for more than 1 year.
- It is good for: Laser has the advantage of also removing acne blemishes, but this treatment should be done by a dermatologist or a specialized physiotherapist.
6. Filling the skin with Hyaluronic Acid
This treatment is done by a dermatologist and consists of applying injections on the face in order to remove the fibrosis points that are causing skin imperfections that give way to scarring, unifying the skin. Injections may contain filler substances such as hyaluronic acid, acrylate, or the person's own fat, for example.
- It is good for: People who have acne scars that do not change their shape by stretching the skin and do not wish to perform other treatments.
7. Plasma injection
This type of treatment is effective because the person's blood and plasma in every area that needs to be treated. This treatment can only be done by a dermatologist and produces good results, although it is not usually used to treat acne scars.
The person's blood is not fully absorbed by the body and a clot forms, and then a reorganization of the hematoma occurs, producing new fibers of collagen and fibrin, and as a result the small holes in the face are filled and the skin becomes more firm and smooth.
- It is good for: People who are not afraid of needles and can not perform other types of treatments.
Before starting any treatment to remove scarring left by pimples you should consult a professional such as a dermatologist, a specialized physiotherapist or beautician because they can indicate the most appropriate treatment, taking into consideration your age, skin type, the depth of the scars and the amount of time you have available. Ideally you should use more than one treatment to achieve better results.