3 Important Points to Consider in Acne Pit Treatment: Surface Irregularity, Fibrosis, Volume Loss


3 Important Points to Consider in Acne Pit Treatment: Surface Irregularity, Fibrosis, Volume Loss

Acne pit treatments currently offer a variety of technologies and procedures to choose from. However, individual acne pits have different causes and pathologies, so there is no single treatment that is appropriate for all patients.

A thorough assessment of the characteristics of the acne pit before treatment is an important step that allows the doctor to choose a technique that suits the individual's problems. In general, treatment planning should consider 3 key elements: upper layer skin unflatness, fibrosis pulling the brace under the skin, and loss of tissue volume.

1. Surface Irregularity Upper Skin Uneven

Surface Irregularity refers to abnormalities of the leather surface that occur around the cuticle layer and shallow segments of dermis, resulting in uneven, rugged skin, uneven acne pit edges, or wide pores, often seen in conjunction with Rolling scar and Boxcar scar types of acne pits, as well as shallow scars with clear edges.

In this group of patients, the goal of treatment is to smoother the surface, along with stimulating the process of collagen formation and natural skin repair.

Treatment guidelines that may be considered include

* Both Ablative and Non-ablative Fractional Laser to stimulate exfoliation and collagen regeneration.

* Picosecond Laser in combination with Micro Lens Array (MLA), which relies on the Laser-Induced Optical Breakdown (LIOB) mechanism to stimulate collagen formation by reducing upper layer skin damage.

* Radiofrequency (RF) or Fractional RF to deliver energy into the dermis layer, stimulating skin quality repair and adjustment.

The choice of technique depends on the type of acne pit, the depth of the lesion, skin color, and the appropriate recovery period of the individual.

2.Fibrosis fascia that pulls the brace under the skin

Fibrosis is one of the major reasons for the deep dent appearance of acne pits, especially the Rolling scar type of acne pits.

When past acne inflammation occurs, the body builds up collagen fibers and fibrosis to repair the tissue; these fibrosis may attach between the skin layer and the tissue below, causing a continuous brace pull, resulting in the skin collapsing into pits, even if the inflammation has disappeared.

If fibrosis is not corrected, laser treatment or collagen stimulation techniques alone may produce limited results, as the brace pull remains.

Guidelines for treatment in patients with Fibrosis include

* Subcision or Scar Tethering Release to erode and cut the fascia under the skin, reducing the brace pull of the scar.

* Energy-based Remodeling, such as Fractional RF or some lasers that can stimulate collagen rearrangement and restructure fibrosis.

* Combination Therapy, which may use multiple techniques in combination to reduce the likelihood of fibrosis reattachment and promote tissue regeneration.

Assessing how much acne holes are caused by brace pull is an important step in choosing a treatment approach.

3. Volume Loss, loss of tissue volume

In addition to skin unflatness and fibrosis, many patients experience tissue loss in the dermis or subcutaneous fat layer from chronic inflammatory processes, resulting in Dermal Atrophy or skin collapse.

As tissues and collagen decrease, the acne pit has a deep, basin appearance, even if the fascia has been cut, especially in very deep Boxcar type acne pits, and some Ice Pick scar with obvious tissue loss.

The treatment approach therefore focuses on both replenishing the volume of the skin and encouraging the body to regenerate tissue.

Examples of treatment guidelines include

* Program Biostimulator or collagen regeneration stimulant such as PLLA or PDLLA group to stimulate long-term regeneration of collagen.

* Program Hyaluronic Acid Filler, which may be considered used in some cases to help support collapsed skin, specifically after Subcision, to reduce the chance of fibrosis reattachment.

* Program Polynucleotide (PN), a substance in the Polynucleotide group that plays a role in promoting tissue repair processes.

* Program Exosome or Cell-containing extracellular vesicles, which is under clinical study in the area of skin restoration, may play a role in promoting tissue repair processes and reducing inflammation. However, academic evidence is still under development and results may vary from person to person.

Acne hole treatment should look holistic.

In practice, acne pits are most often not caused by a factor alone, but a combination of three aspects of abnormalities: skin unflatness, subsurface fibrosis, and tissue volume loss.

Therefore, it is important to evaluate the characteristics of acne pits in detail before treatment, so that you can plan personalized treatment and choose to use a combination of techniques based on the pathology of each area.

Opting for lasers alone, fascia cutting alone, or just replenishment, may not be able to fix every component of the acne pit in some patients. The proper combination of techniques based on a doctor's assessment is therefore an approach that improves the likelihood of improving skin quality, reduces the depth of the acne pit, and promotes long-term treatment outcomes.

This varies in response to treatment from person to person, depending on the type of acne pit, the severity of the lesion, skin quality, age, and post-treatment care. Collaborative planning between doctor and patient is an important element in determining the most appropriate treatment for each case.

# Pimple hole # Acne hole treatment # Cut acne hole fascia # acnescartreatment # Subcision

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