What is the best treatment for acne scars when there
What is the best treatment for acne scars when there
There is something many patients tell us in the waiting room that hurts more than an active breakout. It is that feeling of looking in the mirror and seeing a landscape you do not recognize. Imagine you have gone through a difficult phase of your skin, perhaps during university or when you were under a lot of work stress, and now all that remains are those depressed marks that look like holes in your face. You feel as if time had stopped at that ugly moment.
In consultation, we see that this is extremely common and frustrating. It is not your fault nor a lack of hygiene; it is your body’s response to a previous inflammation that did not close properly. When active acne disappears, the skin sometimes remains with the scars of difficult times. This is a process we live through in Medellín, where the heat and humidity accelerate everything, but they are not the only causes. People believe that the sun of Santa Marta or the city center is the only thing that worsens these marks. The reality is that ambient heat does help cells repair themselves faster if you use adequate sunscreens, but it is not the main cause of those deep indentations.
What really changes the map of your face are the changes in collagen production and the structure of the connective tissue. When a follicle became very inflamed, the body tried to send help and created tissue that ends up being stiffer than the rest. If you look closely at the reflection of a deep scar, you will see it has more shine than the surrounding skin because that layer is tight and dry. The problem is not just aesthetic; it is a real structural difference in how the skin fibers are organized.
The real cause and an honest nuance about what you thought
Acne scars come from two basic mechanisms: the destruction of collagen and deep obstruction. When there is a severe infection, the body releases enzymes that break down the support fibers, leaving empty holes. There can also be an excess of tissue that creates a hard lump underneath the surface. In simple terms, your skin is being built with broken bricks or with too many bricks piled haphazardly.
There is a very strong myth we must break right now because it affects how we think about the solution. People believe that melasma goes away with a treatment and disappears forever. The reality is that it is controlled, not that it disappears forever. Similarly, with depressed scars, many expect a miracle where everything is perfect on the first day. That is not the case. Most deep scars require several sessions to see real changes in texture and relief. There is no magic wand, but there is a clear path if we take the necessary time.
The process in consultation in Medellín
When we bring your case to our clinic, the first thing we do is evaluate the depth and type of scar. In some cases, we use light to see how deep those indentations are without damaging the skin. Depending on this, we design a personalized plan that includes combinations of techniques so each area receives the attention it needs.
In high-complexity consultations, we enrich this approach with advanced technologies such as fractional CO2 laser or microneedling. The CO2 laser works like a computer-controlled scalpel that vaporizes deep layers of damaged skin, allowing the body to reconstruct new and firm tissue. It is a procedure that gives an intense heat sensation, but it produces very marked results in the overall texture. On the other hand, microneedling uses microscopic needles to create controlled micro-injuries that directly stimulate collagen production without using heat. It is ideal for more superficial scars or to prepare the ground before a more aggressive treatment.
We also evaluate if you need to lift depressed scars with subcision. This technique consists of making small cuts at the bottom of the scar to release the tissues that are adhered and lift them. Imagine you are lifting a carpet that has rolled up; subcision is like peeling off that end so it lies flat again. Sometimes, we combine these techniques with controlled chemical peels to remove the irregular top layer and accelerate skin renewal.
In our center, in Medellín, we apply these treatments with great care and constant follow-up. If you are looking for integral options that combine these technologies, you can consult our store at verassere.com/tienda/ to see the supportive products we recommend using between sessions to keep results stable. Remember that success depends on consistency and follow-up, not just the initial procedure.
Clear signals to schedule your appointment
You should consider an evaluation if you notice that the scars are deeper than recent bumps or if you are very concerned about those depressed indentations. If you want to know which option makes the most sense for your specific skin type, a professional consultation will give you the exact answer. Do not wait for the skin to worsen or for the summer heat to make everything look worse before acting.
You should also be concerned if there are changes in the overall texture of your face or if you feel discomfort to the touch in those areas. If your scars are new and continue to grow, it is better to treat the original cause of acne before focusing only on the marks. But if the problem is purely aesthetic and you want to improve your self-image, there are effective solutions we can explore together without the need for home experiments.
Frequently asked questions
What options exist for deep scars that are not visible with light? How many sessions do I need to see real changes in my skin? Is it safe to use laser if I have sensitive or delicate skin?