Acne plagues most teenagers and leaves behind unwanted scarring. The quest for the best treatment that one can possibly have to target acne scars, what would it be?

Methods of subcision, resurfacing lasers, chemical peels, microneedling, radiofrequency, ultrasound and many other energy based devices have been described. Use of fillers could also help but require repetitive filling procedures and are not a long term solution.

All these treatments can help and some give more improvement that others. However, most of them have  improvement ranges between 1-10%. 

Knowing how the scars are formed, gives the basis for 4D (Definitive Depth Dynamic Detachment)  Scar Reconstruction. 4D Scar Reconstruction is great for targeting deep seated scars that are minimally responsive to other treatments. 
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Even when targeting scars that are recalcitrant to other treatments, it still gives up to 80% scar improvement in a single session.

Scarring that results from acne can disfigure and cause a lack of self esteem. 

The scars that we will look into are those that are of a contour defect, meaning to say no amount of make up can actually cover it up. These are different from darkening or redness that can happen after a pimple has popped!

These scars can be deep and narrow - the ice pick type, or they can also be wide yet shallow, involving a larger area - rolling type. As these scars are treated, gradually when they become more and more shallow and involve a smaller area, they can present like box car type scars. 

Let's focus on rolling scars today!

Subcision, is essentially a technique used to break the deep scars fibres that hold the scar down, thereby allowing the scarred surface to rise up. 

This would involve using either a needle or blunt needle to accomplish the breaking of scar fibres. 

Immediately post treatment, we can notice how these wide depressed scars are lifted!