How To Treat Acne Scarring (2024)
ฝัง
- เผยแพร่เมื่อ 27 มิ.ย. 2024
- Acne scarring is an incredibly common and frustrating problem amongst patients I see in my dermatology clinic. In this video, I talk about the most evidence based ways to cure acne scars. We discuss acne scar prevention, how acne scars are formed, microneedling, laser resurfacing, chemical peels, and also creams to treat acne scars.
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TIMESTAMPS:
0:00 Intro
1:12 Types of Acne
1:56 Prevention
6:29 Treating existing scars
9:56 Filler
10:30 Hypertrophic Scar Treatment
11:20 Creams
13:00 Cost
SKINCARE PRODUCTS I PERSONALLY USE:
There's no guaranteeing these are the best for you (it's too hard to get the right data for this) but these are products I consider to be from reputable brands, at a good price point, and which I like to use.
Cervae Moisturizing Cream (my daily moisturizer): geni.us/A2CT
La Roche Posay Hydrating Cleanser (my daily cleanser): geni.us/TBAnM
La Roche Posay Tinted Mineral Sunscreen (sunscreen for skin of color): geni.us/EJXv
Differin Gel (adapalene - a retinoid) : geni.us/4mAPAO
La Roche Posay Adapalene (as above, but slightly more fancy): geni.us/poEAc2
Neutrogena Retinol (weaker than above two, more hydrating): geni.us/cpAMAxb
Cerave Healing Ointment (for chapped lips): geni.us/T975
Social Media Links:
Instagram: / usamasyed
Twitter: / usamasyedmd
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Please do you have any idea of progressive macular hypomelanosis?
I had hypertrophic scars on my nose cause by pimples., and the dermatologist told me it is syringoma,😩 i was too naive to agreed with her that time. Now i have to many big atrophic scars on my nose since the procedure she used was Cuttery Laser Treatment to remove my Hypertrophic scars. Im so depress right everytime i see my face in the mirror . Pls help what the alternative ways to minimize this .
Ps the treatment was 2 weeks ago
Severe scarring should be covered by insurance The mental health threat in this society is far to severe.
Agreed!
Nooo they say that is for making yourself beautiful that is not important they sayyy.... Which is soo wrong!!
Yup, fupped me right up.
Yes I did some expensive treatments and got no insurance on it
with that logic, you would have to cover surgery for anyone ugly enough that it effects their life negatively
My acne and scars were so bad that the dermatologist office took pictures and sent them to my insurance, who agreed to cover scar procedures. Acne, especially severe acne, is directly correlated with depression.
sir do you take pills now? or just creams.
@@omaryousifkamal4290 creams and micro needling.
I also have bad scars
Can u put ur insta so i can dm u i have a few questions
Lucky. Back in the UK my taxes were paying into the NHS but the NHS wouldnt cover my scarring. And private treatment cost loads for it due to all the taxes for the NHS
I can’t imagine that working here in Australia
As a 30 year old woman, acne scarring has truly changed my quality of life for the worst. I don’t date, I don’t go out much, and I feel very self conscious. It sucks when im in the car and sun is shining and it highlights the scars. I’ve been suffering for over 10 years. It’s hard to deal with. I went to a aesthetician and received a chemical peel, but they gave me the wrong one and that did nothing for my face. Between the depression, self consciousness, and I feel like I can’t live a full life because of the scars on my face.
Ma'am micro needling is the best treatment for acne and acne scars
@@thisizshortlycherifa7810 Thank you. I’m scheduled for treatment next week. I’m very excited. I’m doing a mix of Microneedling and peels. I’m excited for this.
@@Welcometothenow i did hydro facial and microneedling I've seen rly good results it still the peel its next month i hope u get what u want and see rly good results ❤️❤️❤️
@@thisizshortlycherifa7810 I hope you do too! That is amazing. I’ve heard of hydro facials but haven’t looked into them yet. Thank you for the encouragement. I’m very excited about my Microneedling session. How soon did you see results? And how many sessions did you receive?
@@Welcometothenow i did 3 sessions for morpheus rf, didnt help me. I got deep ice pick scars though. considering excision now.
Accutane changed my life. I think anyone who even begins to have cystic acne should immediately try Accutane.
I felt it, tho .. the medicine procedure during the cure was wasting time, money, and psychology, and after it cured, the scars is another nightmare
does acne came back how many years ago you have done your course please tell me
In my experience laser therapy and micro needling is THE BEST treatment in terms of acne and acne scaring. It completely turned my skin around when neither creams, antibiotics, tretonoids nor diet and what not helped.
Agreed! These are the most effective.
Which type of laser therapy ?
I am interested in hearing more about this as well! What kind of laser treatment have you found to be most effective? Do you have to get it on a regular basis or just a few sessions to completely eliminate the problem?
Initially I did it every month (if not maybe every 2 weeks, I am not sure). This helped especially against the Acne. But the effect is very lasting, so currently every 3-4 months is sufficient for me. This is also due to "condition" having goten better. So now I do for the scarring. I found that the laser worked better than the needling. Although; the needling worked best at a higher intensity with a deeper piercing (deeper piercing will hurt more though). I can't tell you much about the laser. I only know what my doc cals them. There are some that help better against acne, some better against scarring. Laser-vampire-needling is not recommended by me though. All in all i wish my previous doc didnt keep his mout shut and told me about this. It was my best life decision yet. Truly life changing for me. Pls remember the experience may vary.
@@usamasyed u don't suggest prp as the major treatment whole face supplemented with co2 laser especially ok the very scarry part? Also I reckon you dint mention open pores due to acne scarring, and what about dermaroller to suppliment with your sessions in between at home?
I'm really impressed by this doctor, not just whatever his saying is facts. It's also his humor, how his explaining everything in details, litterly anything that pops in watcher's brain. also I appreciate his cheerful personality.
This video is just what I needed, thank you. I was just crying over my scars last night because they were caused by irresponsible dermatologists. Can’t help but feel that the treatments they give besides laser is bullcrap and even adds new scars (happened to me recently). Also hearing you say that sometimes acne is out of our control is incredibly validating, I hate that doctors like to give us false hope or blame it on diet/lifestyle.
bruh take doxycycline. 2 weeks in and I see a difference for myself
What treatments did you get that scarred you more? What helped for me against acne and scarring is tretinoin. The scars are not completely gone, but my skin looks better.
@@EdwinRodriguez-ql7fg ive tried that and accutane, yes it helped but doxy isn’t for long term. And my acne has died down quite a bit; it’s the scars that still remain
@@toeareg100 a couple of facials, but one time they popped a blood-filled pimple and it left a huge scar. I also did TCA (the method that is mentioned in the video) but they overdid one area that had nothing wrong with it and left a dent instead, while leaving the obvious ice-pick scar untouched. :(
@Jasmine B, sorry that that happened to you. ♥️
One of the most honest and transparent information about this topic. Thank you!
I hope you are more active on TH-cam. We need a derm like you to educate the TH-cam community on skincare.
You're back!!!! Happy to see it
Finally 2 full videos . Thanks man don't stop making full videos.
Honestly tough to keep up! Takes a lot of time and doesn’t make any $ when you don’t do sponsorships 😂
I was actually expecting a video from you about scarring and here it is! I have slight atrophic scarring on my cheek areas after severe cystic acne and those areas are photosensitive, I can't walk outside without a mask or sunscreen. Im taking Vitamin A (Oxidox capsules) supplements from my dermatologist and now I'll talk to him about topical retinoids too. Thanks for helping me out, giving suggestions on this as IMO acne scars are worse than just acne.
Hi bro where are u from in India
BEST video I’ve seen on this topic. Been battling acne scars for 15+ years and tried pretty much all the regiments he discussed…what a journey. Thank you for being the only real advisor on this topic I’ve come across. God bless you sir.
Try eating mung beans daily. It is a detox food that cools you down. You will start to grow clear skin, which will replace the old, scarred skin. You will see results in weeks.
Thank you for being real to us and not letting yourself be bought. May Allah bless you. 🙌
thank you sincerely for having the common decency of being transparent and honest, unironically really difficult to find nowadays
The best dermatologist on TH-cam!
OMG, I love your content, Style of speaking, humor, and most importantly, your honesty. KEEP it GOING
Thanks my bro!
I took Accutane as a teen two separate times for severe, cystic acne for which I was incessantly bullied for at school. I can't tell you how many times I desperately sought out creams and ointments for my scars. Thanks for being so authentic about the most effective treatments. Wish this video existed back then to spare me the agony of my failed searches.
Honestly, it’s comments like this that motivate me to keep making these videos. Really glad you got the help you needed in the end! 🙌🏼
How was the accutane experience for you? Did it stop your acne for good?
@@monikamadaan7020 I have low immune but digestion process is faster as my intestine and liver doesn’t absorb much from food. I had accurate for a month and stopped because it was affecting mental health and calcium. So doctor advised vitamin D3 so that body can absorb calcium and vitamin B12 for hormones and immune.
I have stopped drinking milk and eating chocolates. But antibiotics helped a lot.
Learn to manage acne I believe. I’m suffering from this chronic disease from 4 years. I take meds and it stops but again I got twice due to stress.
But from last one month I have started doing se stressing activity, meditation and read positive books. I’m happy and gaining weight
Acne are under control also it doesn’t leave scars and dark spots because I’m using the world’s bestttt combination during night that’s niacinamide and Adaplene with good amount of moisturizer.
Drinking fruit juices and also about to start vegan protein powder which will help more.
You should definitely try accutane for a month because it is life changing; many friends of mine had taken just for a month and they have beautiful skin. The only con is it may affect physical health but you can manage them smartly.
I’m definitely going to try micro needling ❤
Great video, very straight to the point and informative.
I have had many treatments for my atrophic scars. I'm 64 years old and nothing seems to really help. I just finishing my fourth erbium laser treatment 4 weeks ago and I actually feel that my scars look worse. I am so self-conscious I hate to go out in public, the story of my life.
Random question, who edits your videos? They are amazing !!!!!
I love the little one liners in your videos that CRACK ME UP! I can tell you have a genuine heart that is sick of all the bullshit in the world yet compelled to make a difference. Subscribed.
Ahh thank you!
You are my favorite new youtuber, thank you 🙌🏻
Here is the true energy 👏🏻
Thank you for this content. It's so rare and valuable to get accurate and transparent skin care information. It would be amazing if you could do a video on how to reduce hyper-pigmentation from stubborn old spots. I don't have raised tissue but after the active spot is gone i am always left with red/purple marks.
Will add it to my list!
Samee
You are my favorite dermatologist
Best skincare channel out there & the realest ❤️
Too kind!
I just love ur vdos and u😍😍
Thanks to Allah, that you posted videos...after a long break
thank you for your honesty
Humour makes your videos alive.. keep it up
🙌🏼❤️
I love your video, crystal clear, to the point, no empty promise, very honest advice. Big thanks, Dr. Usama.
Best educational video by far
Coming from a laser aesthetician ❤
I got cystic acne at 39 and my skin was going crazy around my jawline, chin and chest. I challenged my insurance when they refused to cover my treatment and the person I spoke to was very sympathetic and I got it covered. I do have to get recertified every 3 years but so far so good. I went on spironolactone 50mg, Retin-A, azelaic acid from the dermatologist. This worked great but a few years we went to 100mg and kept the others but included a benzoyl peroxide face wash. I am now the happy owner of clear skin with one or two breakouts a year if that! I stan science. Thanks for your no BS videos!
Great regimen!!
My son went on Accutane as a freshman in high school. It was fabulous after about 4 months he has never had one blemish and not one scar. I would recommend it to everyone
My 15 yr old son was put on Accutain for 5 months and omg it is a miracle pill. No side effects what so ever. The amount of monitoring they did to make sure he had no side effects was huge and much appreciated. Now he is on tretinoin cream and although he has very minimal scaring we are moving forward with microneddling. My husband and I have never suffered with acne and it is so heartbreaking seeing your child go through it especially when it's so bad you have to be put on Accutain.
Your son is very lucky for having a good and responsible doctor. I was put on Accutane when I was 17 and the side effects were horrible. Extreme drying and itching, especially all over my back. And my dermatologist never followed up or gave me tips to prevent the side effects.
@@Eirruh I was on Accutane for 6months, my skin and scalp got really dry in the beginning. My lips were always really dry, and I felt like I had to put on lip balm every couple of minutes. You get used to it though. There's a bunch of other side effects that you might experience, but your dermatologist will discuss it with you and let you know the side effects before putting you on.
Maybe you could kindly read her comment before asking a question
accutain can help to fix acne scar?
@@zuharu9615 no, but tretinoin can improve appearance of a scar.
Thanks for acknowledging the importance of acne scar treatments not being insured. I've dealt with cystic acne and scarring for years and only now after lengthy isotretinoin / laser / alternative treatments I am sort of where I want to be. Not to mention that my skin was broken, bleedy and itchy as hell for the majority of that time.
Glad you’re seeing results!
Great information. Thank you!
Your videos really helped me alot not only with my skin but also my personality
Ahh means so much to hear!
Thanks a lot Dr. Usama Syed..... I was anxiously waiting for this video
Bro, I absolutely love your videos. Very direct and no BS. Whilst others make 🙄-inducing videos like 'how to wash your face' and skin-cycling.
Ahh thanks bro!
I appreciate your videos so much! It's good to hear reasonable skin health information that doesn't feel like a commercial. Thank you! ❤️
I discovered you a week ago and I felt that my own dermatologist had a yt channel recommending things or giving advices. Thanks god for discovering Dr Syed 🙏🛐💜. Greeting from Argentina 🇦🇷🥰
🙌🏼🇦🇷
Thanks for this video.
Your skincare videos are really amazing!
Ahh thank you so much!
Thank you, Doctor. I’m a little shy but you look so charming to me, I love your sense of humor.
APPLAUSE, APPLAUSE, APPLAUSE TO YOU FOR BEING SO BRUTALLY HONEST ! I have suffered my whole entire life with box scars and indented rolling scars and w/ laser treatments that I have used didnt really help me. Now that I'm 68 yrs. old, I recently had microneedling and I've had 8 sessions which cost me a lot and yet, my scars have only improved about 50 %. I'm thinking of getting more sessions just to hopefully get me a smoother skin. You're right, INSURANCE IS CRAZY FOR NOT HAVING THESE TYPE OF CONDITION BEING COVERED ! I wish I can afford to get a fat transfer and fillers . I also began using some type of Retinol but I know I will have to continue w/ more microneedling. I'm not exctly sure about PRP.
I admire your honesty and YOU ARE THE ONLY DOCTOR that I have seen in YOU TUBE that describes reality about acne scars. More power to you !
Thank you for the kind words, and wishing you the best on the rest of your treatment journey!
Hi Lorna, do you have any before and after pictures you are able to share? I am near-senior and considering it.
Glad you 'returned to work' as a skin expert.
haha always stayed part-time derm!
Thx for the information! Could you, please, make a video about eye skincare?
Appreciate honest Doctors like you ❤❤❤❤
Acne starts from your gut! If you do a food intolerance test, see which foods you are intolerant to and eliminate them from diet and you will see a big improvement
I bet you’re someone who never had cystic acne
Saved and shared 👌
Informative video. Could you talk about how microneedling and some heat based treatments can potentially cause fat loss in the face. Ive been watching some other drs talk about this so it's concerning.
Gone through many videos about scarring,what you told is exactly correct as per my past experiences with scar treatment. Informative content, I have an ambiguity whether micro needling reduces or shows impact on fine lines/wrinkles of aging process.
Beautifully made video keep it up brother
Thanks my bro!
Thank you so much we want these types of vedio more
Thank you for telling the truth
Thanks for the video
Waiting for this video from you...Im very insecure about meeting people outside,attending parties or functions and lost all the confidence due to scars and its very challenging in my profession..Thanks for talking about mentel issues with scaring ,they are damn real and it effects the quality of ones life ....would love to consult you if I match in newyork🤞
Try eating mung beans daily. It is a detox food that cools you down. You will start to grow clear skin, which will replace the old, scarred skin. You will see results in weeks.
Thank you. This video deserves more likes.
I like how you feel to those who have severe scare 😢😢 like me who have severe scar acne and also from gentics. So sad 😥😥 and its my biggest insecuritt in life. Dont have confidence at all. Always avoid to do pictures. And always wearing facemask because it makes you comfortable when talking to someone specially on the work. And ASKING WHY YOU ALWAYS WEARING MASK?? COVID ARE GONE ALREADY. Its so hearbreaking.. I just want to hide always. I just LOVE how you speak for us who sufferring this kind of problem .. THANK YOU ❤
R u addressing me?😢
Hi Dr. Usama. Love your content! Can you please make a video for eye care? eye bags and eye circles? There is a lot of garbage about how to get rid of them and nothing scientifically-based. Hence, I am sure your viewers would appreciate one! Thanks!
Doctor. You spoke my heart. U explained same emotions that i have. Time machine
I Love your energy & willingness to help people. I respect you a lot for that. Thank you so much! Very very helpful.
Great video Doc! 👏🏽👏🏽
It was very informative
thank you for the THOROUGH break down of effective acne treatments. have been taking oral isotretinion and topical creams for YEARS, but I still struggle with severe acne and scarring issues. looking towards laser treatment for my next step forward!
I think it’s also important to note those who are considering Lasering that many clinics use lasers that work well with those on the Fitzpatrick scale of 1-2 (skin type) and can cause scaring to those with more melanin rich skin. Those with more hyperpigmentation prone skin have to opt for a laser known as Nd:YAG which is often more expensive. At least that is my experience. Would be great to see an efficacy comparison between Nd:YAG and Microneedling so can channel the funds for the most effective treatment for those of darker skin tones.
Pico lasers are also appropriate for type 3+.
Yep. A fully ablative CO² fractional laser isn't suitable for Fitzpatrick scale 3 and darker. In my country, we use a mildly ablative CO² fractional laser because it's sunny all year and most people are on Fitzpatrick scale 3 and darker. It's not nearly as effective as the fully ablative ones, but it's quite effective for moderate pigmentation and mild scars. People with severe acne scars are usually given 2-4 treatments at once - they usually consist of subsicion, tca cross, prp, and CO² fractinal laser. And while insurance can't cover those treatments, it's fairly cheap to get those combined treatments - around $100-$300 here.
Ive done micro dermabrasion, chemical peels, microneedling, fully ablative laser resurfacing (that's under anesthesia, performed by a surgeon with 6 months heal time), subscision, and filler. I still have pretty severe scars. Nothing has worked for me. I do think the medical grade skincare I've been using has made a huge difference in texture. Ultimately, though, you just kind to have to learn to live with it. I've found that people really aren't that superficial in real life, unless they're young or generally shallow.
A phenol peel works wonders on deep scars
Thanks so much..
I hope Ms Shirin also start her videos again
Thanks for your video Usama! What about red marks left from the accutane purge? 3 months from happening and still there. Any recommendations on serums or creams to help them fade away whilst still on accutane?
P.s. Keep going with your evidence based videos!
Education is rarely THIS much fun. You'd make a wonderful professor. Thank you for this and your other videos!
Thank you for your kind words, Eric!
I just saw one of your videos with Ali. I'd love to see a skincare routine from your channel as well. Explaining the 'to dos' and 'not to dos' with some recommendations for product, and the actual routine as well and in what order :)
Could you make a video about evidence based hair care routine?
"Save it for the next music festival" 😂 never heard that before and I love it
haha yeah kinda made it up on the spot and not sure it makes sense 😂
This is really helpful! Thank you for making this video ❤
I just want to ask, have you heard about medicube's age r series? I'm just wondering if it can be used for acne scars too? Because it uses microneedling method, thank you again if answering!
Can you please make a video about the medical aspect of dermatology and wards that dermatologists do and examples of medical management in dermatology
Will add it to my list!
I went in for a consultation for my acne scars at this one place and the bundle price for 3 treatments for microneedling was $1400. I couldn't afford it, but the lady wanted to help me out so she gave me half off so now I've been going for over a year now and I am going to get my 5th microneedling treatment next month.
Did it help for acne scars?
Dr Usama, could you comment on the effectiveness of microneedling at home.
Thank you for this very informative video.
I was about to buy ScarMed cream to treat my acne scars, but after watching your video I changed my decision. Thank you so much for sharing such informative videos.
Accutane really did the trick for me this is true
I would love to find a dermatologist like you in Sweden. If I only knew that they were so honest, good of heart and skillful as you, I would be “happy” to save up and invest in 2-4 treatments. At least now I know a lot more thanx to you🙏🙏🙏
Ahh very kind of you! I’m sure there’s even better ones available 🙌🏼
I can recommend Dr. Emil Henningsen in Denmark. He’s is the best acne scar specialist in Europe, in my opinion.
@@Biesjager Wow, really nice of you to recommend a dermatologist. Thank you🙏. I will check him out👍.
@@camillaskold5891 No problem. He told that most of his international patients are in fact from Sweden. If you have any questions, I am more than willing to answer them. We can arrange a pm if you like.
@@Biesjager It’s ok, thanks anyway.
You’re so cute Dr and your sense of humor is impeccable. I love you already.
Microneedling worked for me. I did five treatments and it cleared up most of my acne scars.
When done right, microneedling is excellent!
Hey dude, or shall I say Doctor Dude :) , I've had cystic acne scarring for over 20 years, and I agree with you that OTC products are very limited in effectiveness. In fact I found absolutely nothing disagreeable about any of your statements. You're quite helpful. After a year of Accutane about 5 years ago, the chance I'll get another acne cyst is probably around 95 percent reduced. I almost never see them, but am also using Retin A every day and have ever since Accutane cessation. Before that, I took Doxycyline every day for 15 years. Eventually I started hitting a wall getting it because suddenly everyone was saying that you can't take it for more than 3 months, and I couldn't get an Rx for it anymore, which motivated Accutane treatment. I was too scared of the extremely long and horrifying list of Accutane side effects, but I experienced virtually zero side effects from a year of Accutane treatment. Dry mouth and eyes is all I can remember from it. I wish I'd done it much sooner. From your suggestions I think I'll go with laser treatments. Is there any difference between "Fractional CO2 laser" and any other kind of laser treatment?
Thanks for commenting. I’d like to hear this too
+1
Allah bless you , you are the ray of light in these Commercially influenced pseudoscientific studies and influencers
I got this subcision and microneedling with prp. That shit was real pain, i hope my acne clear up soon so i can get scarring treatment
Anyway I do appreciate how you explain scar treatment
Good info jani 👍
Thank you for being honest. So far i have done stamping 4th treatment at home. I have seen little improvement but will continue. I use 3.0 stamper once a month. My box scars are very old and a very smalk area on my cheeks about 3/4 surface. I use vitam c and ordinary moisturizer with retinoid by Ordinary brand, and hyulornic acid as well. Will continue to do monthy treatments until i get desired smoothness.
Dang you totally right. I do my first micro needling this year and feel like nothing happened.
The second one my doctor also suggest to do subcision. Now i already have 4 session and see the result.
Thanks a lot for this information. I really hope back then i already now this.
I love you!!! 🥺💖💯
Can you talk about dyshidrotic eczema next?
I use benzoyl peroxide
Really helpful in active acne
Amazing ❤
Thank you! Fantastic and informative. On the diagram for microneedling it shows different needle lengths and penetrations, what do you recommend for scarring? I imagine the deeper the better but comes at increased downtime..
Correct! Most providers will start low and work their way to higher depths with each session!
I'm 20 years old, and I've had terrible hormonal imbalance and oily skin I've gone through roaccutane for about 6 months I think and still suffer with oily skin today the only thing I got from roaccutane is bad joints.
Right now, been seeking a solution for oily skin and the scars that were left on my face
Can you tell us the proper procedure to do micro needling on our own? Like what to apply before and after the needling and how often we are to do it. Thanks
Hi sir, Thanks for the video.
I want to know that if do any procedure, will buy result Will be permanent?
Thank you DR. Usama