Hi. I am new to your website. A friend recommended me to check it out. I am 32 years old, I did microneedling for my acne scars but after a few months and thanks to new acne my skin is visibly back. I was wondering what I could use for aging, mild acne (my acne isn’t too severe now) and scarring. I have used cerave cleanser and moisturizer and an essential oil brand. I felt the essential oils helped reduce my acne but not really the scarring. I have combination skin.

You make an important point! It’s really important NOT to deal with acne scarring issues until the acne is in remission or quiet for at least 3-6 months. This is because most patients don’t really want to spend the time and money on improving their scarring… only to have it undone by new acne.

Treat your acne first!

  • If you have acne that is clearly scarred, please don’t wait and try home remedies. It’s important to see a dermatologist or primary care physician as soon as possible to get the disease under control. Accutane, a cousin of vitamin A taken in tablet form, may be needed for the most severe cases. Each passing month adds to the problem of scarring later on.
  • There are many resources. Visit the AAD.org website (American Academy of Dermatology) to search for board-certified dermatologists in your area. Talk to friends and neighbors. Websites can be useful, but anyone can put together a beautiful website right now. Be skeptical! Yelp reviews are useless in my opinion as they always hide positive reviews and promote negative reviews…unless the doctor agrees to purchase their services every month, which many people don’t.
  • If you have to wait a few weeks/months for your appointment, start using over-the-counter products in the meantime. Here are some options.

Treating acne scars – the basics

  • Microneedling – In my opinion, microneedling does not work very well, unless scarring is barely visible. Be sure to go to someone who is experienced and licensed.
  • Peeling – especially massaging can help fade scars very quickly.
  • Lighter lasers like most lasers (some are even deeper) like Fraxel can excel with a range of typically 3-5 for mild to moderate depth scars.
  • Deeper lasers like carbon dioxide (CO2) lasers or deeper beams require more “down time” but also give much better results.
  • Circumcision is also helpful for deeper scars and is usually done right before deeper laser treatment.
  • Suppositories such as Restylane or Juvederm can provide temporary help (6-12 months) and, if taken repeatedly, have some longer lasting effects from the needles.

Hope this is useful,

Dr. Brandith Irwin
Founder, SkinTour
Director, Madison Skin & Laser Center
Follow my skin and travel tips on Instagram!


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