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Acne Scarring

  • Neal BhatiaEmail author
  • Consuelo Veronica David
  • Salar Hazany
  • Aman Samrao
Chapter

Abstract

The inflammatory lesions caused by acne such as papules, pustules, nodules, and cysts can result in two types of changes to the skin—temporary pigment changes and true scarring. These lesions are common and can be just as must a source of psychologically distress to patients as active acne lesions. While pigment changes are temporary and resolve on their own over months to years, true scars are permanent. The appearance of true scars may be improved with various modalities including intralesional cortisone injections and laser therapies. Pigmentary alteration will be covered in another chapter, and in the following we will review true scars.

Keywords

Hyaluronic Acid Hypertrophic Scar Dermal Filler Acne Scar Atrophic Scar 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Thiboutot D, Gollnick H, Bettoli V, Dreno B, Kang S, Leyden JJ, et al. New insights into the management of acne: an update from the global alliance to improve outcomes in acne group. J Am Acad Dermatol. 2009;60:S1–50.PubMedCrossRefGoogle Scholar
  2. 2.
    Shih B, Bayat A. Genetics of keloid scarring. Arch Dermatol Res. 2010;302:319–39.PubMedCrossRefGoogle Scholar
  3. 3.
    Halim AS, Emami A, Salahshourifar I, Kannan TP. Keloid scarring: understanding the genetic basis, advances, and prospects. Arch Plast Surg. 2012;39:184–9.PubMedCrossRefGoogle Scholar
  4. 4.
    Rivera AE. Acne scarring: a review and current treatment modalities. J Am Acad Dermatol. 2008;59:659–76.PubMedCrossRefGoogle Scholar
  5. 5.
    Jacob CI, Dover JS, Kaminer MS. Acne scarring: a classification system and review of treatment options. J Am Acad Dermatol. 2001;45:109–17.PubMedCrossRefGoogle Scholar
  6. 6.
    Rapini R. Practical dermatopathology. Houston: Elsevier-Mosby; 2012.Google Scholar
  7. 7.
    Verhaegen PD, van Zuijlen PP, Pennings NM, van Marle J, Niessen FB, van der Horst CM, et al. Differences in collagen architecture between keloid, hypertrophic scar, normotrophic scar, and normal skin: an objective histopathological analysis. Wound Repair Regen. 2009; 17:649–56.PubMedCrossRefGoogle Scholar
  8. 8.
    James W, Berger T, Elston D. Andrews’ diseases of the skin clinical dermatology. Philadelphia: Elsevier-Saunders; 2011.Google Scholar
  9. 9.
    Levy LL, Zeichner JA. Management of acne scarring, part II: a comparative review of non-laser-based, minimally invasive approaches. Am J Clin Dermatol. 2012;13:331–40.PubMedCrossRefGoogle Scholar
  10. 10.
    Fabbrocini G, Annunziata MC, D’Arco V, De Vita V, Lodi G, Mauriello MC, et al. Acne scars: pathogenesis, classification and treatment. Dermatol Res Pract. 2010;2010:893080.PubMedGoogle Scholar
  11. 11.
    Fife D. Practical evaluation and management of atrophic acne scars: tips for the general dermatologist. J Clin Aesthet Dermatol. 2011;4:50–7.PubMedGoogle Scholar
  12. 12.
    Orentreich D, Orentreich N. Acne scar revision update. Dermatol Clin. 1987;5:359–68.PubMedGoogle Scholar
  13. 13.
    Tsao SS, Dover JS, Arndt KA, Kaminer MS. Scar management: keloid, hypertrophic, atrophic, and acne scars. Semin Cutan Med Surg. 2002;21:46–75.PubMedCrossRefGoogle Scholar
  14. 14.
    Johnson WC. Treatment of pitted scars: punch transplant technique. J Dermatol Surg Oncol. 1986;12:260–5.PubMedCrossRefGoogle Scholar
  15. 15.
    Solotoff SA. Treatment for pitted acne scarring–postauricular punch grafts followed by dermabrasion. J Dermatol Surg Oncol. 1986;12:1079–84.PubMedCrossRefGoogle Scholar
  16. 16.
    Al-Waiz MM, Al-Sharqi AI. Medium-depth chemical peels in the treatment of acne scars in dark-skinned individuals. Dermatol Surg. 2002;28:383–7.PubMedCrossRefGoogle Scholar
  17. 17.
    Kim S, Cho KH. Clinical trial of dual treatment with an ablative fractional laser and a nonablative laser for the treatment of acne scars in Asian patients. Dermatol Surg. 2009;35:1089–98.PubMedCrossRefGoogle Scholar
  18. 18.
    Ong MW, Bashir SJ. Fractional laser resurfacing for acne scars: a review. Br J Dermatol. 2012;166:1160–9.PubMedCrossRefGoogle Scholar
  19. 19.
    Roenigk Jr HH. Dermabrasion for miscellaneous cutaneous lesions (exclusive of scarring from acne). J Dermatol Surg Oncol. 1977;3:322–8.PubMedGoogle Scholar
  20. 20.
    Yarborough Jr JM. Ablation of facial scars by programmed dermabrasion. J Dermatol Surg Oncol. 1988;14:292–4.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Neal Bhatia
    • 1
    Email author
  • Consuelo Veronica David
    • 1
  • Salar Hazany
    • 1
  • Aman Samrao
    • 1
  1. 1.Division of DermatologyHarbor-UCLA Medical CenterTorrenceUSA

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