Acne scars is more common on dark skin than white skin. Dermatological studies have shown that African Americans are 10-15 times more prone to develop acne scars than Caucasians. Asians on the other hand have 5-10 times higher risks. The types of scars on darker skin are usually hypertrophic and keloidal (elevated); and they are hyper-pigmented. Hence, acne scar treatment on dark skin must have a different approach.
The most common problem on dark skin scarring is hyper-pigmentation. Excess melanin causes the pimple scars to look almost black. There are topical solutions that can make the coloration less prominent. More powerful topical medicines can be obtained through your dermatologist. These can peel of the ugly pigments from your hypertrophic scars.
Dermabrasion and laser resurfacing is not recommended for acne scar treatment on dark skin. These treatments may just make things worse. They work by cutting the outer layer of the scar, or by abrading the outer layer to peel it off. Yes, new skin will grow in place of the scar. It may feel smoother; however, the new skin will obviously look lighter!
You may consider microdermabrasion, which is a much gentler variety of Dermabrasion. It is virtually painless, as it uses micro aluminum crystals to gently abrade the scar. For ice-pick and boxcar-shaped scars, the recommended acne scar treatment on dark skin is injection filling. Fillers like collagen and healthy fat will be injected so that the scar-crater will appear at-level with undamaged skin. However, the effects of fillers last only for a few months; hence, reinjection is necessary.
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