First, what are rolling acne scars? Rolling acne scars are typically not easily noticeable because their surfaces have small, indented areas, giving the entire scar a wavy appearance. You might find that when you gently touch these acne scars with your fingers, they feel relatively smooth. This type of acne scar is relatively easy to treat.
Rolling acne scars primarily result from “tethered scars.” Imagine when a piece of fabric is pulled tight, the texture of the fabric becomes uneven—this is similar to the formation of rolling acne scars. To improve these scars, we need to address the tethering, such as by cutting away the tethered parts or using subcision and laser techniques to disrupt them, which can significantly improve skin texture.
Rolling acne scars are classified according to severity into mild and severe cases. Mild rolling acne scars can be treated with fractional lasers, which effectively work on the superficial layers of the epidermis to produce excellent results. For more severe acne scars, more advanced laser techniques, such as fractional CO2 lasers, are necessary. These lasers can penetrate the skin deeply, relaxing the tethered scars and helping the skin regain its smoothness.
In more extreme cases, rolling acne scars can lead to skin atrophy, requiring procedures like dermal grafting or subcision. For example, in subcision, doctors use specialized needles to cut the taut scars. During this process, hyaluronic acid is often used to reduce the possibility of re-adhesion, ensuring the treatment’s effects last longer.
Another highly effective treatment technique is Microneedling RF. This is a therapy combining microneedling and radiofrequency. During the procedure, the needle releases heat, targeting the dermis to heal the acne scars without damaging the epidermis, thereby significantly reducing the risk of side effects.
In summary, while rolling acne scars can be a concern, modern medical advances have equipped doctors with numerous effective treatment methods. I hope every individual can find a suitable solution and restore their smooth skin.