Treatments for Ice pick acne scars | Dr Davin Lim

ce-pick acne scars are one of the most common forms of acne scarring. 🔎 - 🧠 Skin science: Acne scars can occur in up to 80% of patients with #cysticacne. It is advisable to control acne, or better still place acne in remission before or at the time of #acnescarrevision. - 👨🏻‍⚕️Treatment options: Creams can decrease some forms of atrophic scars. Adapelene 0.3% has recently been advocated. Surgical options include punch excision. Chemical modulation include TCA CROSS (chemical reconstruction of skin scars), TCA Paint (my preferred method), as well as focal #phenolpeels (awesome results). Ablative #co2laser to the side walls of the #pickscar is also very effective. - 📈 Clinical application: My TCA concentration varies from 40 to 100%, phenol at 88%. #crotonoil at 0.1-0.3%. Most patients will have other forms of atrophic scarring, hence other methods such as #subcision, RF, #microneedling and lasers are frequently used in the same session. - ⚠️ Caution: In skin type 4 and above, skin colour change (PIH) is universally seen. For scars that are not well defined the use of strong acids can widen scars. For wide #boxcarscars I drop the concentration, as well as the pressure on the brush. - 🧴Recommended products: #skinpriming with #retinoids such as #adapelene . Sunscreen -#LRP or #invisiblezinc. In dark skin patients compounded #lighteningcreams, #hydroquinone , #meladerm, #melacream.