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Acne, which is one of the most frequently encountered skin problems in the world, is generally seen as a problem observed during adolescence, but it confronts us as a discomfort that can be seen in both men and women at any age.

Skin problems such as acne that affect 80% of the population and are not usually taken very seriously, however it should actually be considered as a health problem. Acne formation may lead to disruption of physical appearance, especially to psychological problems in young people, loss of self-confidence and depression.

Among the factors that may lead to obstruction of the skin pores in the skin with resultant acne formation, the following conditions should be considered;

  • excessive secretion of sebum due to the hyperfunctioning of the sebaceous glands in the skin,
  • hormonal changes,
  • bad eating habits,
  • stress and poor quality sleep,
  • insufficient water consumption,
  • smoking,
  • bacteria
  • drug use,
  • genetic predisposition

Acne can be self-destructive depending on its severity, type and prevalence and sometimes it is eliminated with treatment. Early diagnosis, as with any health problem, also remains valid for acne treatment. Because when left untreated it may leave permanent and serious skin marks called scars.

Acnes are divided into two categories as noninflammatory acne and inflammatory acne. The subtypes of these categories are as follows:

  • Black spots (Open comedones ) -noninflammatory acne
  • Whiteheads (Closed comedones) -noninflammatory acne
  • Red acnes (Papule) -inflammatory acne
  • Inflammatory acne (Pustule) -inflammatory acne
  • Acne cysts and nodules - inflammatory acne

It can be seen individually or as a mixture of all at different levels

Acne / acne is a skin problem that can be treated, Therapeutic agents include:

  • Cleansing products,
  • Acne medications that are effective when applied on the skin surface,
  • Antibiotics
  • Retinoids
  • Lasers,
  • Photodynamic therapy,
  • Special skin care products for acnes
  • Chemical peeling

These treatment options are tried to control the acne problem by using them singly or in combination according to the severity of the problem

Types of Acne Scars

Types of Acne Scars

In general, acne scars affecting the upper layer of the skin can sometimes persist. The major types of acne scars are examined under 3 categories;

Boxcar Scar: Oval and round scars with a depth of 0.5 mm, and a diameter of 2 mm may penetrate into subcutaneous adipose tissues.

Rolling scar: creates wave like depressions 4 mm in depth on the surface of the skin

İcepick scar: Acne scars approximately 2 mm in depth that look like as if it was pierced by a nail.

Treatment of Acne Scars

There are different methods of treatment for acne scars.. Among these methods; fractional carbon dioxide laser treatment, fractional gold needle application, ICON laser treatment, Q-Switch laser treatment, chemical peeling and plasma energy systems. The severity, type and prevalence of acne scars will also determine which type of treatment will be applied and how many sessions will be required. The most preferred methods in the treatment of acne scars are Fractional Carbon Dioxide Laser Treatment, Fractional Gold Needle Application, ICON Laser Therapy and Q-Switch Laser Therapy

Fractional CO2 Laser Therapy

Fractional Carbondioxide (CO2) Laser Treatment,a laser peeling method, is a treatment method that aims to obtain a new skin support tissue by means of microtermal damage zones reaching to a depth of 600 micrometers. With the application of CO2 laser, the superior collagen stimulating effect of the laser on the acne scars can be quickly achieved. After 20 to 60 minutes of treatment, redness and swelling of the skin may occur, but within 1 or 2 days these symptoms will disappear. It is necessary to avoid exposure to the sunlight before and 1 month after the treatment.

After 3-6 days, the skin is peeled. The first effect is a smoother, smoother appearance on the skin. Applications with fractional laser affect only 20% of the treatment area, so it may be necessary to repeat this treatment for 3-4 sessions.

Fractional Gold Needle Application

Fractional Gold Needle Application, which is a very much preferred method in the treatment of acne scars, is the name given to the special head with needle-shaped electrodes designed to deliver radiofrequency energy only from the needle tip. Thanks to this head of the instrument , the skin surface and other areas are protected from the effects of radiofrequency energy while energizing the desired depth within the skin.

Before application, the area to be treated is cleaned and anesthetic cream is applied. Treatment is performed by adjusting the required depth and energy levels to the cleaned skin. After the procedure, the skin is cleaned, soothing, epithelizing products are applied and the skin is cooled.


Fractional Gold Needle treatment is an application that can cause redness and swellings in the skin, but any skin peeling is not observed. The patient may return to his/her life a day later. There is no risk of staining. It is an advantageous application because it can be done in summer. It may be necessary to repeat 3-4 sessions of treatment to obtain the desired result from the application.

Treatment of Acne Scars with ICON Laser

Treatment of Acne Scars with ICON Laser

Thanks to laser light, on skin dimples caused by acne scars a new collagen structure is formed by increasing heat. In the ICON laser application, there is no need for a needle and there is no peeling, burning effect, so scars disappear without effecting patient’s daily life. According to the severity of the problem, 1 to 4 sessions per month is sufficient to achieve significant improvements.

Q-Switch Laser Treatment of Acne Spots

Acne problem can cause some brown spots especially in dark-skinned people. In this case, we prefer Q-SW lasers to remove these skin spots.. In most cases, brown spots can be removed in 1-2 sessions. This laser technique which does not have any side effects except temporary redness is an important method in removing acne spots without affecting daily life.

Duration of Scar Treatment and the Post -treatment Process

Acne scar treatment for your skin performed to achieve a healthy-looking skin without blemishes lasts approximately 30 minutes .Number of sessions may be increased according to the individual's condition.

Although redness may occur in the early stages of treatment , since your skin will produce collagen with time your skin begin to heal, and skin spots will disappear. . It is useful to keep your skin from exposure to direct sunlight after the first treatment session. Use of protective creams is recommended.

When Do Results of Acne Scar Treatment Become Manifest?

After the scars are formed, they become stable after at least 2 years. This process can be further reduced with treatment. Your body produces collagen for wound healing. Before treatment, you should see the final condition of the wound. Initially, the appearance of a dark reddish color in scars is obtained due to the growth of new blood vessels. As blood production slows down in the future, the wound will begin to flatten. Improvement in acne scar treatment may be seen after 3-4 treatment sessions.

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