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One thing that many teenagers can commiserate about is the development of acne. People will often start noticing acne around age 10, and some will experience recurrences all their lives. The occasional pimple is annoying enough, but long-lasting acne scars can affect daily life.
Dr. Cameron Rokhsar is all too familiar with the frustration of acne scars. He is our double board-certified surgeon at New York Cosmetic, Skin & Laser Surgery Center and has provided countless patients with acne treatment. Dr. Rokhsar works hard to improve the appearance of acne scars, but there is no guarantee that they will vanish completely.
There are three main types of acne scarring, and the treatment differs for each. All three types described below are atrophic, meaning that they are sunken and healed beneath the skin.
Ice Pick Scarring
This type of scarring is deep and narrow. The naming of these scars is apt, as their appearance is similar to small divots caused by an ice pick.
Treating Ice Pick Scars in New York
For treating ice pick scars, Dr. Rokhsar performs a surgical procedure known as a punch excision. He will use a sharp tool to precisely punch around each acne scar, thereby removing it. Afterward, he will suture the incision hole, sometimes leaving a tiny scar in its place.
Rolling Scarring
Rolling scars are deep depressions within the skin that can cover a large portion of the face. These often look like multiple scars on the same area of skin. These can occur due to a lack of collagen in the skin, which means that they tend to worsen with age.
Treating Rolling Scars in New York
To improve the look of rolling scars, Dr. Rokhsar recommends subcision. During this procedure, he numbs the skin and then inserts a specialized needle. This needle works by loosening the scar fibers from the skin tissue and lifting the skin back up.
Boxcar Scarring
Boxcar scarring is not as deep as the previous two types. These scars are more common and can be the easiest to treat, depending on their depth.
Treating Boxcar Scars in New York
New York patients who have rolling scars often also have boxcar scars. Dr. Rokhsar prefers to combine the treatment procedure with laser resurfacing to yield maximum results. The two main types of laser treatments include:
- Ablative laser resurfacing
- Non-ablative laser resurfacing
The ablative laser is the more invasive type of procedure; however, these lasers can remove the top layer of damaged skin. Non-ablative lasers will heat the skin to produce additional collagen to rejuvenate the skin.
Microneedling is another form of acne scar treatment, but Dr. Rokhsar does not usually choose it as the first line of defense. Microneedling involves multiple tiny needles pricking your skin to stimulate the production of collagen, thereby smoothing, and healing the area.
Treat Your Skin Today
Despite their annoyance, you can improve your acne scars. Come into our Manhattan or Long Island office to speak with Dr. Rokhsar and find out more about your case.
Dr. Cameron Rokhsar
Dr. Cameron Rokhsar, MD, FAAD, FAACS, is the founder and medical director of the New York Cosmetic, Skin, & Laser Surgery Center. Dr. Rokhsar is a graduate of Harvard College and NYU School of Medicine. Dr. Rokhsar is double board certified in dermatology and micrographic dermatologic surgery, being one of the few select dermatologists in the country who is also fellowship trained in laser surgery. A researcher and innovator, Dr. Rokhsar is the creator of the non-surgical nose job and has been instrumental in the research and development of laser systems such as the Fraxel, CO2, Mirady, Vbeam, Themitight, and Ulthera devices. An Associate Professor of Dermatology at Mount Sinai Hospital in NYC, Dr. Rokhsar actively teaches the cosmetic dermatology clinic to the resident at Mount Sinai. An expert injector of fillers, and a trainer for many companies, patients fly in from around the world to see Dr. Rokhsar in his Garden City and Manhattan offices in New York.