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Aesthetic dermatology, cosmetic medicine, cosmetic surgery, and art make-up in Hiroshima, Japan YAYOI Clinic | 9:00-18:00 (irregular holidays)

Why acne scars? Causes, types, and how to treat them, including cosmetic treatments.

supervising physician

Kiko Kono, M.D.

Profile
Graduated from Kawasaki Medical School. Worked as a dermatologist for about 20 years at core hospitals. After many years of experience and achievements, he became a cosmetic dermatologist. His practice style is to examine the skin thoroughly and pursue what is happening where on the skin and approach the problem. Her specialties include customized treatment, laser treatment, Botox, and skin growth injections. In her private life, she is a mother of two children.

For those who are wondering "Why do I have acne scars?" ....... This article details the types, symptoms, and causes of acne scars. Once you know why acne scars form, you may be able to find the best way to deal with them and find the right skin care. We also introduce you to cosmetic treatments that can be effective in eliminating acne scars. If you are suffering from acne scars that won't go away, please read through to the end.

Mechanism of acne scar formation

Why acne scars? Causes, types, and how to treat them, including cosmetic treatments.

Acne scars are acne inflammation that damages the surrounding tissues and leaves pigmentation and scarring on the skin. Acne occurs repeatedly when the skin's immune system is compromised and the inflammation isAcne scars form due to damage to the dermis layer and subcutaneous tissue deep within the skinIt is caused by a variety of factors. Although it varies from one type to another, neglecting to take care of them is generally considered the main cause of acne scars.

■ Inflammatory response and collagen damage

Inflammatory response and collagen damage are deeply involved in the formation of acne scars. When acne occurs, the skin exhibits a self-defense response by becoming inflamed. In this process, collagen, which supports skin tissue, is damaged. The longer the inflammation lasts, the more damage is done to collagen, and as a result, acne scars are more likely to remain.

■Phenomena that occur during the skin repair process

Even though the acne appears to have healed on the surface, healing and repair continues inside the skin. During this recovery process, overproduction of melanin pigment may occur, resulting in hyperpigmentation. This occurs when the skin produces new tissue to repair the damage.Melanocytes are activated and produce more melanin pigment than normalThis is because it can cause Also, if the blood vessels remain dilated due to inflammation, redness may remain.

Types and characteristics of acne scars

Acne scars are characterized by different types. The main types of acne scars are erythema with redness, hyperpigmentation, crater-like indentations, keloids, and hypertrophic scars. In order to select the appropriate care and treatment, one must first understand the differences between them.

■Redness (erythema)

The most prominent of all acne scars is the redness, or erythema, which is the most visible of all acne scars. This is caused by a concentration of capillaries at the site of inflammation, resulting in a congested condition. The redness gradually fades with time, but if the inflammatory reaction is strongRemaining for more than a few monthsIt is not uncommon for patients to suffer from redness that does not disappear or heal for more than a year.

■Pigmentation

Pigmentation is a type of acne scarring caused by excessive production of melanin pigment during the healing and repair process of acne inflammation. It appears in shades of brown or reddish that are darker than the skin color,Symptoms persist for several months to several yearsThe degree and duration of hyperpigmentation may also vary depending on factors such as skin type, age, and sun exposure. The degree and duration of hyperpigmentation will vary depending on factors such as skin type, age, and sun exposure. However, in the case of severe hyperpigmentation, it is difficult to eliminate even if you try to manage it on your own. It is advisable to receive appropriate treatment at a clinic.

■Crater-like indentations

Crater-like acne scars, which look like depressed pore areas, occur when the intense inflammation caused by acne reaches the dermal layer and damages skin cells. The natural healing process does not repair the tissue normally, leaving a depression on the surface. The shape of the indentation varies and can be ice pick, boxcar, or rolling. This type of acne scar is difficult to heal spontaneously and tends to remain for a long period of time.

■Keloids and hypertrophic scars

Keloids and hypertrophic scars are particularly visible among acne scars. They are generally caused by abnormalities or delays in the healing process of acne. Both can also cause discomfort as well as visual problems, as they can be red and itchy. The development of keloids and hypertrophic scars can beGenetic factors and skin characteristics are involved.It is often seen in areas where the skin is easily stretched, such as the face line.

Factors that cause acne scars

Why acne scars? Causes, types, and how to treat them, including cosmetic treatments.

Acne scars are caused by several complex factors. Here we will detail the three factors that induce acne scars.

■Excessive inflammation

One of the causes of acne scar formation is excessive inflammation. While normal acne will heal itself with proper care, prolonged and intense inflammation can damage the deeper layers of the skin and leave scars. Avoid forcibly crushing the pimple or touching it excessively, as this can aggravate the inflammatory response. To correct the condition, appropriate treatment should be sought.

■Inappropriate acne care

Improper acne care can leave scars. For example, irritating the pimples and excessive cleansing. This can worsen skin inflammation and increase the likelihood of scarring. How to properly care for acne,Be gentle and careful while maintaining cleanliness.is the key. Finding the right care method for your skin type, with the advice of a dermatologist or cosmetic dermatologist, will help prevent acne scars.

■Age and skin type

The ease of acne scar formation varies with age and skin type. Younger generations tend to be relatively less prone to acne scars, though, due to their shorter turnover cycles,Skin resilience decreases with age。「若い頃と比べて赤みや色素沈着、クレーター状のニキビ痕が消えない……」という悩みが出現しやすくなります。
中でも乾燥肌や脂性肌は、ニキビやニキビ痕を引き起こしやすい皮膚タイプ。炎症を鎮めるには、体質や症状に合わせた治療が求められます。

Acne scar treatment by cosmetic medicine

Why acne scars? Causes, types, and how to treat them, including cosmetic treatments.

Cosmetic medicine offers methods such as lasers, chemical peels, and potenzas as acne scar treatments.

■Laser Therapy

Laser therapy is one of the most effective cosmetic treatments for acne scar removal. In laser therapy, a laser is irradiated to the affected area to create numerous microscopic punctures, thereby promoting the repair of skin tissue. This treatment method utilizes the skin's wound-healing function and creates new cells by daring to cause damage,Work to normalize turnoverのです。また、修復の過程でコラーゲンが生成されることで弾力やうるおいが増加。クレーターなどのニキビ痕が目立ちにくくなります。
レーザーの種類によってアプローチする層を変えられるため、症状に合わせた治療が可能ですが、施術後は一時的に赤みや腫れが生じることも。ダウンタイムを考慮する必要があることから、治療に際してはスケジュールを調整する必要があります。

■ Subsession

Subsicion is a treatment in which scars that have adhered to the subcutaneous tissue are peeled off and then loosened with a special needle. It is useful for circular, sunken, crater-type acne scars called rolling scars. Because it can directly approach the fibers that cause the dimpling of the skin, it can improve deep and wide acne scars that are difficult to reach with laser treatment.

■TRI-FIL

トライフィルとは、極細の針を使って炭酸ガスと薬剤を同時に注入する治療法。サブシジョンとドラッグデリバリーを組み合わせることで、ニキビ痕やクレーターの改善が期待できるだけでなく、乾燥による小ジワや肌の色素沈着など、さまざまなニーズに対応できます。
また、症状に応じて注入する炭酸ガスや吸引力を調整できるため、ダウンタイムをある程度コントロールすることが可能。出血や色素沈着のリスクが少なく、肌へのダメージに配慮されています。

■Chemical peels

ケミカルピーリングは、ピーリング剤を肌に塗布し、古い角質を除去することで肌の状態を整える治療法。色素沈着やごく浅い凹みに効果を発揮し、明るくなめらかな肌へと導きます。また、使用する薬剤はニキビ痕の種類や程度によって調整できるため、個々の肌質や悩みに合わせたカスタマイズな治療が可能です。
重篤なダウンタイムは出ないものの、肌の状態によっては一時的に赤みを帯びたり乾燥によるヒリヒリ感が続いたりすることもあります。時間の経過とともに治まりますが、施術後は肌をこすらない、UVケアをするなど、医師の指導のもとで適したアフターケアを行うことが大切です。

■Potenza

Potenza is a treatment method that approaches skin problems by using microneedles to puncture tiny dots in the skin and apply radiofrequency waves. Collagen production is stimulated to promote tissue repair inside the skin,Expected to have a smoothing effect on crater-like indentationsCan be done.
また、ポテンツァには薬の成分を真皮層まで届けるドラッグデリバリーシステムが搭載されており、肌トラブルに合わせた薬剤を選ぶことが可能。効率良く肌悩みを治療でき、少ない回数でも効果を実感しやすいとされています。

■ Conclusion.

ニキビ痕にはさまざまな種類があり、症状もそれぞれ異なります。中にはセルフケアで治すのが難しいニキビ痕もありますが、美容医療の進歩により、近年ではレーザー治療やケミカルピーリング、ポテンツァなど症状に合わせた治療法を選択できるようになりました。専門医のアドバイスを受けながら自分に合ったアプローチ法を見つけることで、肌本来の美しさを取り戻せる可能性があります。ニキビ痕の治療に興味がある方は、信頼できる美容クリニックに相談してみましょう。

【治療の内容】 QスイッチNd:YAGレーザー
【当院採用機器】トライビームプレミアム
【治療期間および回数】週1回、計5~6回程度
【費用】1回 ¥21,780
【リスク・副作用等】赤み、炎症後色素沈着、瘢痕形成、色素脱失など
【使用機器について】
TriBeam Premium treatments include procedures using domestically unapproved drugs or medical devices.
・治療に用いる医薬品および医療機器は、当クリニックの医師の判断のもと、Jeisy Medical Incより個人輸入手続きを行ったものです。
・個人輸入における注意すべき医薬品等に関する情報は、下記をご参照ください。
  https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
There are no other domestically approved drugs with the same ingredients or performance.
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief Program.

【治療の内容】ケミカルピーリング
【当院採用薬剤】
・マッサージピール
・ミラノリピールミラノリピール
・ミントピール
【治療期間および回数】
・マッサージピール:2~3週間に1回、計5回程度
・ミラノリピールミラノリピール:2~3週間に1回、計3~10回程度
・ミントピール:1~2週間に1回、計4~6回程度
【費用】
・顔、手、首のうち1部位:1回 ¥21,780
・首とデコルテ(ミラノリピールのみ):1回 ¥43,560
・背中(ミラノリピールのみ):1回 ¥43,560
【リスク・副作用等】
・マッサージピール:赤み、皮むけ、かさぶたなど
・ミラノリピール:痛み、赤み、かさぶた、一時的なニキビの悪化など
・ミントピール:皮むけ、赤み、腫れ、かさぶたなど
【未承認医薬品等であることについて】
・マッサージピール、ミラノリピール、ミントピールの治療には、国内未承認医薬品または医療機器を用いた施術が含まれます。
The medicines and medical devices used for treatment were imported by private individuals based on the judgment of the doctors at our clinic. Please refer to the following for information on medicines and other items of concern for personal importation.
  https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
There are no other domestically approved drugs with the same ingredients or performance.
There is a possibility that serious risks, side effects, etc. have not been identified.
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief Program.

【治療の内容】マイクロニードルRF
【当院採用機器】 ポテンツァ
【治療期間および回数】4~6週間に1回、計3回程度
【費用】
・肝斑・赤み 1回:¥54,780
・ドラックデリバリー(マックーム) 1回:¥104,500
・ドラックデリバリー(ベネブ・スノーホワイト) 1回:¥93,500
【リスク・副作用等】出血、赤み、色素沈着、炎症、腫れ、一時的なニキビなど
【使用機器について】
Treatment of potenza includes procedures using domestically unapproved drugs or medical devices.
The medicines and medical devices used for treatment were imported from Jeisys Medical Inc. under the judgment of our doctors. Please refer to the following for information on drugs and medical devices that should be imported by individuals.
  https://www.yakubutsu.mhlw.go.jp/individualimport/purchase/index.html
There are no other domestically approved drugs with the same ingredients or performance.
・諸外国における安全性等に係る情報。以下の認証を取得しています。
-MFDS(2019.01)
There is a possibility that serious risks, side effects, etc. have not been identified.
In the unlikely event of serious side effects, the drug is not covered by the government's Adverse Drug Reactions Relief Program.

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