Is retacnyl, laser treatments or chemical peels more effective for eliminating acne scars?

Doctor's Answer

Hi Aaron – I completely agree with whatever your doctor has done.

I had asked about accutane but my doctor was hesitant in prescribing to me due to my history with depression.

I’d err on the side of caution as well, as depression, although rare, is one of the side effects of accutane.

Moreover, you described your acne as mild so accutane would be an overkill.

My dermatologist said that the retacnyl will help to clear my acne(very few) and my dark spots and mild acne scars. Would it actually help to eliminate my acne scars?

It will certainly help to control your acne (best topical agent IMHO). This will prevent more scars from forming in the first place – great!

For acne scars, unfortunately retacnyl will only be more helpful for shallow scars and post inflammatory hyperpigmentation (PIH), as its effects are primarily epidermal.

You didn’t mention what kind of acne scarring you have – The depth and type of your acne scars have to be evaluated. If the scars are deep, then there are more effective alternatives such as fractional laser, TCA peel, subcision.

I’d have done exactly as your dermatologist did however – start you on a topical cream to get the acne under control first. Prevent more scars from forming, rather than worry about the existing ones. You are going to have a lifetime to treat them – not to mention, if the scars are new, the skin is still remodelling and they may appear better over time too (especially if it’s PIH).

Cheers

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