Acne Scar Treatments in Singapore

what causes them?

The appearance of scarring can be unpredictable and varies from person to person. Not only will the scars remind you of what you had to deal with, but it may also make you dissatisfied with your skin and affect your confidence.

Scarring results from abnormal healing after damage to the second layer of the skin, the dermis. Patients with atrophic scarring have an altered inflammatory cell profile and tend to experience a prolonged inflammatory response that causes collagen destruction. Raised scars as in hypertrophic or keloid scars result from an over-exuberant healing response and excessive collagen deposition.

49973042_6132913572774_251127532366069760_n

Safe and effective Acne Scar Treatment in Singapore

with our evidence-based treatments

49572815_6132913447774_8496849430786342912_n
49485381_6132914508574_6298298896514809856_n

Fractional Infrared Lasers for Acne Scar Removal

Fractional laser resurfacing involves the deposition of a pixelated pattern of microscopic laser wounds surrounded by healthy tissue resulting in both greater efficacy and shorter downtime compared to non-fractionated treatments. It can be further subdivided into ablative and non-ablative. Ablative fractional lasers have longer wavelengths (e.g. CO2 10600nm) and lead to full thickness destruction of skin, whereas non-ablative fractional lasers have shorter wavelengths (e.g. Erbium Glass 1550nm) and leave an intact skin surface. CO2 has greater efficacy compared with Erbium Glass but longer recovery time and a higher risk of complications.

Fractional Infrared Lasers have a good body of research evidence demonstrating safety and efficacy for acne scar removal in Singapore. They are the gold standard treatment for scarring against which other treatments are compared.

Fractional Picosecond Laser - Discovery Pico Plus

Discovery Pico Plus is a second-generation triple wavelength picosecond laser that generates the highest peak power in the world. A special microlens array further focusses the energy into numerous micro-beams 2mm under the skin. The highly concentrated energy produces laser-induced optical breakdown (LIOB) stimulating scar remodelling with almost no downtime.

discovery pico fractional
49589326_6132913501574_854035301708857344_n

Fractional Bipolar Radiofrequency for Acne Scar treatment

Fractional Radiofrequency creates a pyramidal thermal injury zone (a relatively large coagulation zone deep in the skin with minimal surface damage) as opposed to the columnar shape of ablative lasers. Hence Fractional Radiofrequency has a favourable side-effect profile (such as downtime, post-inflammatory hyperpigmentation) in comparison to fractional lasers.

Fractional Microneedle Radiofrequency for Acne Scar removal

Scar remodelling requires heat delivery to the deep part of the skin. However, in most machine-based treatments for scarring such as lasers, much of the energy is dissipated at the skin surface and little reaches the deep layers. Fractional microneedle radiofrequency overcomes this using insulated microneedles to spare the upper part of the skin and deliver radiofrequency energy precisely up to 4mm deep in the skin, resulting in faster recovery, higher efficacy and increased safety.

49604095_6132913358374_1911431201734787072_n
49585421_6132913830374_4109854390225993728_n

Vascular lasers / Intense Pulsed Light

Vascular lasers (such as pulsed dye lasers, yellow lasers, long pulsed diode or NdYAG) target haemoglobin in blood vessels destroying them. They are useful for hypertrophic / keloid scars and fresh stretch marks. Intense Pulsed Light used for acne scar removal in Singapore together with special vascular filters can be used for similar purposes as well but is generally less powerful

CROSS for Acne Scar removal

Chemical Reconstruction of Skin Scars (TCA CROSS) uses the precise placement of highly concentrated chemical peel (such as Trichloroacetic Acid) to lift the base of deep scars.

tca-cross-2
subcision-1

Subcision and Filler

In subdermal incision (subcision), surgical tools inserted under the skin via small needle punctures are used to release tethered skin scars stuck down to the deeper fascia by abnormal scar fibres.

Filler is then interposed to prevent the two layers from sticking back together during the healing process.

Scar Excision for Acne Scar treatment

Excision is used for isolated ice pick scars or narrow boxcar scars. The scar is removed and the skin closed with either a skin graft or sutures.

49799511_6132940156174_6602034297878609920_n
intralesional-steroid-injection

Intralesional steroid injections for Acne Scar treatment

Corticosteroid injections decrease over-active inflammation and collagen synthesis hence improving the appearance and symptoms of keloid or hypertrophic scars.

1Aesthetics's View on Acne Scar treatments

dr wan's perspective

Dr Wan believes that acne scar treatment in Singapore should be tailored to the individual. The patient’s skin type, scar configuration, lifestyle and budget are particularly important. Although fractional lasers are well established and widely available, Dr Wan does not believe in the repeated application of many sessions of fractional laser in the hope of improving all types of scarring.

A detailed examination is essential to formulate a treatment plan which addresses all aspects of the patient’s acne scarring. It is important to have a wide range of cutting-edge treatment options available. Dr Wan prefers a multimodal approach with a customised combination of specific treatments for each acne scar. The more obvious or deeper acne scars should be specifically addressed, together with overall treatment such as fractional energy devices to blend the edges and treat the shallower acne scars.

different-scars
AcneScarsJevticGettyImages-5c01af8246e0fb00019adbd8

Rolling Scars

  • broad depressions with sloping edges
  • commonly stuck down to the underlying Superficial muscular aponeurotic system (SMAS) layer by networks of fibrous scar tissue
  • subcision and filler should be done first for tethered scars
  • Fractional Radiofrequency, Fractional Lasers, Fractional Microneedling Radiofrequency will improve rolling scars. Dr Wan feels that Fractional Microneedling Radiofrequency gives the optimal balance between downtime and results

Ice Pick Scars

  • deep, narrow, pitted scars
  • CROSS reliably produces significant improvements
  • targeted CO2 laser can also be used
  • deep, larger isolated ice pick scars may be better treated with excision
ice pick scar
boxcar-scars

Box Car Scars

  • broad depressions with sharply defined edges
  • can be stuck down to the deeper layers - these require subcision and filler
  • small boxcar scars can be treated with CROSS
  • isolated boxcar scars may be treated with excision, depending on the size and area

Papular Scars

  • soft skin coloured elevations around hair follicles
  • ablative laser can produce flattening
IndianJDermatol_2015_60_6_603_169135_f1
PIE

Post Inflammatory Erythema (PIE)

  • localized skin redness following skin inflammation that may progress to scarring
  • should be understood as a scar with erythematous components and not as a simple erythematous or vascular lesion
  • Fractional Radiofrequency, Fractional Lasers, Fractional Microneedling Radiofrequency improve both PIE and concomitant active acne and scarring
  • if there is no depressed scarring, Fractional Radiofrequency may be most suitable

Hypertrophic / Keloid Scars

  • steroid injections combined with vascular laser or fractional laser / radiofrequency
  • topical silicone and steroids, pressure
  • certain keloids may be treated by excision combined with steroid injections / fractional laser
keloids

Let Us Help

With your most pressing concerns

Address:1Aesthetics, Medical & Surgery#14-90 The Central Tower 18 Eu Tong Sen StreetSingapore 059818 Mon-Sat 11 AM to 8 PM Phone / WhatsApp:+65 66125173 Email:info@1aesthetics.com 

WordPress Theme built by Shufflehound.
All Rights Reserved.