Abstract
Background
Acne scars are more prevalent among adolescents, affect both genders equally and associated with psychological distress. Acne scars can be divided into atrophic and hypertrophic. Atrophic type includes ice picks, boxcar, and rolling scar. Different treatment modalities have been utilized to improve acne scars including chemical peeling, laser resurfacing, subcision, and fillers, dermabrasion, microneedling, and punch excision. Subcision is a minor surgical intervention utilized to treat multiple skin depressions such as depressed scars. Hyaluronic acid filler (HA) can be used to treat acne scarring through injection into the scar to elevate and support them immediately and successfully used in rolling types of scars. Monothreads are smooth types without barbs have been used for rejuvenation and to induce skin tightening. These threads are placed under the scars in a mesh-like for improving the scars appearance. They improve the skin and induce collagen production over the course of about 8 months.
Objective
Acne scars is a challenging disease and different treatments can provide significant improvement.
Material and methods
This review article focuses on the pathogenesis, classification and future treatment of atrophic acne scars. A Medline search was carried out on the different types of treatment for acne scars. The article was approved by the research ethical committee of Faculty of Medicine, Zagazig University.
Results
A total of 40 articles were identified for the treatment of atrophic acne scars.
Conclusion
The management of acne scars should follow an algorithmic approach that targets each component of scarring.