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How to Deal with Pockmarks from Severe Acne

Learn how to deal with the pockmarks left by severe acne from dermatologist Cybele Fishman, MD in this Howcast skin care video.


One of the most upsetting things for my patients about having acne is the scars that can often result. There are three main types of acne scars.

The first is called an ice pick scar, which is like a pock mark, and, basically, it's a very narrow, yet deep scar.

The second type is called the rolling scar, and these are wide but shallow.

The third type is called a box car scar, and that's a very square shaped scar that you more often see with chicken pox scars than you do with acne.

For pox scars or ice pick scars, you can either do filler, or you can do fractional ablative resurfacing. Both of these work very nicely, and they work even better, synergistically, when you do both.

For rolling scars, in addition to fillers and laser, subcision works very well. Subcision is when a needle is taken from within the scar. The fibrous bands that are pulling on the skin to make that scar are gotten rid of. That can be very, very helpful.

So what can you do to prevent scarring. If you have severe acne, don't pick it. Remember, the more inflammation you have in the pimple, the more likely it's going to scar.

Please, don't wait to get treatment. If after a few tries of topical things, over the counter, haven't helped then get to a dermatologist who can help you before the scarring occurs. Of course, the best way to deal with the scars is not getting them at all.

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