Today, let’s discuss the treatment of acne scars, particularly the use of polylactic acid (Sculptra) as a filler. For many people, acne scars are undoubtedly a regrettable consequence of acne, and polylactic acid is currently one of the relatively effective solutions.
First, let’s understand what acne scars are. Acne scars are depressions in the skin caused by acne, which not only affect appearance but can also impact one’s self-confidence. The formation of acne scars is typically due to the loss of fat and tissue beneath the skin, making filler treatments especially important. Polylactic acid filling can effectively improve uneven skin texture, making the skin look smoother.
Next, we can look at a specific case. Suppose a patient is facing severe rolling acne scars that have significant depth and area; traditional filler methods may not achieve satisfactory results. In this case, polylactic acid can demonstrate its superiority, as it is particularly suited for addressing large surface repair needs.
So, how can one determine if they are suitable for polylactic acid filling? A preliminary examination can be done by stretching the skin. If the acne scars appear relatively smooth when stretched, it may indicate that your skin tissue does indeed need filling. Conversely, if the depressions remain even when stretched, this method may not be appropriate.
The mechanism of action of polylactic acid is to improve the appearance by stimulating the natural production of collagen. This filler material needs to be injected into the dermis, and after multiple treatments, you will notice that the acne scars gradually become smoother. For each patient, the treatment process may be individualized and adjusted according to their specific circumstances.
The treatment procedure generally includes various steps. For example, I would recommend starting with three epidermal treatments, possibly using technologies like fractional laser or Blue Peel, to improve the overall condition of the skin, followed by two injections of polylactic acid filler. This process requires patience, as effects usually become noticeable after three to five sessions.
In the early stages following treatment, patients may experience localized swelling, which is a normal reaction and typically subsides within a few days, allowing for visible improvement. However, some discomfort may occur during the treatment process, and patients need to mentally prepare for this, following the physician’s instructions for proper care, including cleaning and medication.
It is important to note that polylactic acid is not effective for all types of acne scars. Patients with ice pick scars or hard acne scars may require different treatment approaches. Therefore, after evaluating the condition, the doctor will provide personalized recommendations.