Acne scars form as the skin repairs itself from the insult of inflammatory acne bumps. These atrophic ("pitted") spots on the face can be quite frustrating, as they can't be covered with makeup and don't resolve on their own. Many treatment options exist for improving the appearance of acne scars. The most dramatic and permanent treatment option is Fractional Laser Resurfacing treatment, with either the Fractional CO2 laser or the Fraxel Re:Store. Microscopic holes are poked in the skin, which stimulate the production of new collagen. This makes the texture of the skin much smoother permanently; since the improvement is reliant on your own collagen, the improvement is permanent.
Another popular treatment option for acne scars is the injection of dermal filler into the scar. While this treatment usually provides only temporary improvement, many patients like that the results are instantly noticeable. Fillers for acne scar treatment last between 6-12 months and wear off slowly. The most popular fillers used for acne scars are Restylane, Juvederm and Perlane. Radiesse is also sometimes used to fill in deep acne scars. Dr. Schweiger explains that, "There is no 'best' filler for acne scars. It is important to use the filler that your dermatologist is most comfortable injecting. "
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