In the treatment of atrophic scars there is no universal method for removing acne scars or scars after accidents. You can not completely remove a scar and acne scar, but it is possible to improve scars significantly with different methods. Different types of atrophic scars have different reactions in response to different treatment methods.
That is why a very important first step in the treatment of scars and acne scars is the definition of the type of scar. For example ice pick scars are best treated with chemical peels such as TCA cross or punch excision. Rolling scars are best treated with microdermabrasion, microneedling (dermaroller, dermapen), fractional laser (Fraxel) and subscision. Boxcar scars answer satisfactory to treatment with carbon dioxide laser.
For the treatment of atrophic scars are whole palette of capabilities and techniques.
Microdermabrasion – skin polishing of the scar localization with aluminum oxide microcrystals (Al2O3).
Aluminum sand is applied onto the skin surface by means of negative pressure and, knocking the particles out of the problem zone, aluminum sand is sucked into another container. Vacuum enables to elevate the scar bottom (Fig.1). This method does not require anesthesia, the recovery period being 4-10 days. To archive tangible results, 3-5 procedures are required with a 3-4 week interval (Video: Microdermabrasion of the fresh scar before after with Dr. Igor Safonov).
Fig.1. Microdermabrasion of atrophic scar