Question
Hi,
Your photo suggests that you have papular (small raised bumps) post-acne scars rather than true keloids. These are common on the nose, chin, chest and back in susceptible patients after active inflammatory acne.
It is most important to control your acne activity to minimize new scars from occurring.
Actual treatment is difficult and in my experience, repeated fractional CO2 lasering may give some modest improvement by leveling the raised papular scars.
Hope this helps!
Hi, Generally, very deep acne scars that are less than the diameter of the punch (usually 3mm in diameter) are candidates for punch excision as these scars respond very poorly to other modalities of acne scar treatment such as subcision and fractional lasers. Such very deep acne scars with a small surface diameter are also known as “ice-pick” scars. The punch excision converts the deep ice-pick scars to a superficial line scar which subsequent resurfacing procedures will help improve further. Hope this helps!
Hi, Additional injury, ongoing inflammation, and secondary bacterial infection are the three most common causes in clinical practice that result in worsening of existing keloids. Hope this helps!
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