Obtain information on undulating acne scars, including the causes, treatments and prevention advice.

Acne with undulating scars is a common dermatological condition characterized by depressed or teeth on the skin surface. These scars are usually caused by inflammatory acne, in which deep grains or cysts break and damage the underlying skin tissue. Unlike other types of acne scars, undulating scars have a wavy appearance, such as small valleys or hills on the skin. They are usually formed due to the degradation of collagen and elastin fibers, which causes an irregular texture and contour of the skin.

An important factor that contributes to the development of acne with undulating scars is the natural healing process of the body. When the skin tissue is injured or inflamed because of acne sprouts, the body produces collagen in an attempt to repair the damage. However, if collagen fibers do not align correctly during the healing process, they can form fibrous bands that tie the skin to the underlying subcutaneous tissue. This results in the formation of wavy scars.

Did you know what? Rolling scars can be classified into three subtypes: superficial, medium and deep. The superficial scars are the mildest and most deep, while the deep are the most serious and create depressions pronounced on the skin surface.

To effectively treat acne rolling scars, there are various medical interventions and aesthetic procedures. A popular option is dermal fillings, which consist of injecting substances such as hyaluronic acid into the depressed skin areas. This helps fill the skin, making the scars less visible and creating a smoother appearance. Another method of treatment is laser therapy, which acts on the deep layers of the skin and heats them to stimulate collagen production and favor healing.

Rolling Scars Acne: Understanding and Treating the Skin Condition

Wavy scars are characterized by wide depressions in the surface of the skin, giving it a wavy appearance. These scars occur when fibrous bands of tissue develop between the deeper layers of the skin, creating a clamping effect and pulling the surface downward. This anchoring effect results in the formation of wavy scars, which can be especially difficult to treat due to their irregular shape and depth.

Important information:

1. Acne with rolling scars is caused by an inflammatory response in the deeper layers of the skin, which leads to the formation of fibrous tissue.
2. The severity of rolling scars can range from slight indentations to deep, extensive depressions on the surface of the skin.
3. Treatment of acne with rolling scars often requires a multidimensional approach, combining various treatment modalities to achieve optimal results.

Understanding the underlying causes of acne with rolling scars is crucial to developing effective treatment strategies. Dermatologists often use a combination of procedures to treat these types of scars. These may include, but are not limited to: dermal fillers, subcision, laser therapy, and microneedling. Dermal fillers are often used to increase volume and smooth out depressions, while subcision involves breaking up fibrous bands to release bound skin. For their part, laser therapy and microneedling stimulate collagen production and promote skin remodeling.

It is essential that people with acne with rolling scars consult a qualified dermatologist who can assess the severity of their condition and recommend the most appropriate treatment plan. Although it is not always possible to completely eradicate rolling scars, significant improvement in the appearance and texture of the skin can often be achieved through a combination of these innovative treatment modalities.

The Definition and Characteristics of Rolling Scars Acne

Acne with undulating scars usually manifests as depressed, wavy or rolled lesions on the skin. These scars are caused by the loss of collagen and support tissue under the surface of the skin during the inflammatory phase of severe acne. As the body tries to cure and repair damaged tissue, an irregular collagen formation occurs, which results in the formation of the characteristic wavy aspect of the scars. These scars tend to develop in the areas of the skin where acne lesions, such as cheeks, temples or jaw line.

Characteristics of acne rolling scars

• Depressed and shallow lesions that seem rounded or inclined.
• Soft to touch, but with an irregular texture
• Often accompanied by pos t-inflammatory hyperpigmentation or erythema
• They can worsen with age and natural loss of collagen

The identification of the rolling scars of acne implies a thorough examination of the affected areas by a dermatologist or health professional. Differentiating this type of scars from other types, such as scars in the form of cargo or picahielo car, is crucial, since it guides the treatment approach. The treatment options for rolling acne scars may include various minimally invasive procedures, such as subcision, dermal fillings, micropunction, laser rejuvenation or chemical peels, aimed at stimulating collagen production and improving the texture of thefur.

Table: Acne treatment options with rolling scars

Treatment option	Description
Subcision	Surgical procedure that breaks the fibrotic connective tissue to release the scar
Dermal fillers	Injectable substances that are used to raise and fill the depressed scars.
Microneedling	Technique that stimulates collagen production and favors skin regeneration.
Laser rejuvenation	Use laser energy to remove the damaged upper layer and favor the growth of new tissue.
Chemical exfoliation	Application of a chemical solution to exfoliate the skin and improve its appearance

Causes and Contributing Factors of Rolling Scars Acne

Hormonal imbalance: imbalances in hormonal levels, especially during puberty, can play an important role in the development of acne with undulating scars. Hormones such as testosterone stimulate the sebaceous glands to produce more fat, which causes the obstruction of the pores and a greater bacterial growth. When this process is combined with a genetic predisposition to the formation of scars, acne with undulating scars may appear.

Hormonal imbalances, such as those that occur during puberty, can stimulate sebaceous glands to produce excess oil. This excess oil can clog pores and encourage the proliferation of bacteria, leading to wavy acne scars.

• Genetics: Genetic factors can also contribute to the development of acne with wavy scars. People with a family history of severe acne or scarring are more likely to experience these types of acne scars themselves.
• Inflammation: Chronic inflammation can exacerbate the formation of rolling acne scars. Inflammatory acne lesions, such as nodules and cysts, can lead to tissue damage and the formation of depressed scars.
• Poor wound healing: Some individuals may have a slower or poorer wound healing process, which may increase the likelihood of developing acne rolling scars. This poor healing can delay the closure of acne lesions and increase scar formation.

1. Picking or squeezing acne: The habit of picking or squeezing acne lesions can increase the risk of scarring, including acne rolling scars. This behavior can cause further inflammation and damage to the skin, leading to scar formation.
2. Late or inadequate treatment: Failure to seek timely and appropriate treatment for acne can contribute to the development of acne with rolling scars. Acne that is left untreated or not treated properly can progress and increase the risk of scarring.

It is important to note that each individual may have unique factors that contribute to the development of acne with rolling scars. Consulting with a dermatologist or healthcare professional can help determine specific causes and provide personalized treatment options.

Types of Treatments Available for Rolling Scars Acne

1. Dermal fillers: One of the main treatments for rolling scars is the use of dermal fillers. These fillers, which are typically made from hyaluronic acid, are injected into depressed areas of the skin to help lift them and create a smoother surface. Dermal fillers provide immediate results and can last from several months to a year, depending on the specific product used.

Note: It is important to consult a dermatologist or professional of skin care to determine the most appropriate treatment plan for each acne case with undulating scars. They can evaluate the severity of the scars and recommend the best course of action.

2. Microneedling: Microneedling, also known as collagen induction therapy, is a treatment that consists in the creation of small skin punctions using a device with fine needles. These punctures stimulate the production of collagen and elastin, which helps improve the general texture of the skin and reduce the appearance of rolling scars. Microneedling is a minimally invasive procedure and usually requires several spaced sessions for several weeks to obtain optimal results.

While dermal fillings and microneedling are effective treatments for acne rolling scars, it is important to understand that individual results may vary. Factors such as the severity of scars, skin type and the general state of health can influence the result of the treatment. Patients should also be aware of possible inconveniences and discuss them with a medical professional before proceeding with any treatment plan.

Procedures for Treating Rolling Scars Acne: Dermabrasion and Microneedling

Dermabrasion is a procedure that consists of the controlled elimination of the most superficial layer of the skin by means of a rotary instrument. This technique exfoliates the skin and stimulates the growth of new and healthy skin cells, which can help attenuate the appearance of rolling scars. During the procedure, a dermatologist or plastic surgeon carefully uses the dermabrasion tool, which gently sands the skin, improving its texture and promoting collagen production. The result is a smoother and more uniform skin surface.

Dermabrasion is a widely recognized treatment for various types of scars, including acne rolling scars. It offers the advantage of promoting skin regeneration and reducing the visibility of scars. By exfoliating the upper layer of the skin, dermabrasion favors the growth of new skin cells, which translates into a more uniform skin texture.

Microneedling, also known as collagen induction therapy, is another effective procedure to treat acne with undulating scars. It consists of using a device equipped with tiny needles to create skin controlled microlesions. These microlesions stimulate the production of collagen and elastin, essential for healthy skin. As the skin repairs, new collagen fibers are formed that fill the depressions caused by rolling scars and improve the texture and general appearance of the skin.

Microneedling has gained popularity as a minimally invasive treatment for acne scars due to its ability to stimulate collagen production without causing significant damage to the skin. The tiny needles create micro-injuries that trigger the body’s natural healing response, leading to the regeneration of skin cells and the reduction of rolling scars.

Comparison of Dermabrasion and Microneedling for Rolling Scars Acne

Topical Treatments for Rolling Scars Acne: Retinoids and Chemical Peels

Retinoids, a class of compounds derived from vitamin A, have been widely used in the treatment of acne and have been shown to be effective in reducing the formation of new acne lesions. They act by regulating cell renewal and preventing pore clogging, which can cause acne formation. In addition to their acne-fighting properties, retinoids have also been shown to be beneficial in improving the texture and appearance of scars. Its ability to increase collagen production and promote skin cell regeneration can help smooth the uneven surface of rolling scars, making them less visible.

Important information:

• Retinoids can be purchased both with and without a prescription. Prescription retinoids are usually more potent and may give better results in severe cases of wavy scars.
• Retinoids can cause skin irritation and sensitivity, especially in the initial stages of treatment. It is important to start with a low concentration and gradually increase the dose to minimize side effects.
• The constant and prolonged use of retinoids is key to achieving visible improvements in rolling scars. It may take several months before significant results are seen.

Another effective topical treatment for rolling scars is chemical peels. These peels involve applying a chemical solution to the skin, which exfoliates the outer layer and stimulates the production of new, healthier skin cells. Chemical peels can help improve the appearance of rolling scars by reducing their depth and promoting collagen remodeling. Gentle peels, such as those containing alpha hydroxy acids (AHAs), are typically used for superficial scars, while deeper scars may require stronger peels with ingredients such as trichloroacetic acid (TCA).

Important information:

1. Chemical exfoliations should only be carried out by qualified professionals, such as dermatologists or aestheticists, to guarantee safety and effectiveness.
2. The intensity and type of chemical exfoliation used will depend on the severity of the rolling scars and the type and status of each person’s skin. A personalized treatment plan must be established to achieve optimal results.
3. After a chemical exfoliation, treated skin can be reddened, sensitive and more susceptible to solar damage. During the recovery period, it is essential to adopt strict solar protection measures, such as using sunscreen and avoiding excessive sun exposure.

Preventing and Managing Rolling Scars Acne: Skincare Tips and Lifestyle Changes

Tips for skin care:

• Cleaning and exfoliation: Keeping the skin clean and without excess fat or dirt is essential to prevent acne outbreaks. Use a soft cleaner twice a day and exfolia regularly to remove dead cells.
• Hydration: hydrate the skin is vital to maintain its elasticity and prevent scars formation. Choose moisturizing creams without oil and not comedogenic to avoid the obstruction of the pores.
• Sun protection: Apply a broad spectrum sunscreen with a high SPF not only prevents solar burns, but also helps protect the skin from larger damage and reduce the visibility of the scars.

Note: It is recommended to consult a dermatologist to obtain personalized advice on skin care and determine the most appropriate products for their skin type.

Changes in lifestyle:

1. Dietary modifications: consuming a balanced diet rich in fruits, vegetables and whole grains can favor the general health of the skin. Avoiding excessive consumption of sugary foods and fatty, fried or processed foods can help reduce the risk of acne outbreaks.
2. Stress control: Stress can worsen the symptoms of acne and delay the healing process. Incorporating techniques to relieve stress, such as exercise, meditation or hobbies, can be beneficial for physical and mental wel l-being.
3. Avoid ribrating or squeezing: resist the temptation of pinching or tightening acne lesions, since this can cause greater inflammation and increase the risk of healing. Let the acne cure naturally and avoid touching your face in excess.

Important note: If acne outbreaks and rolling scars persist despite skin care efforts and lifestyle changes, it is advisable to seek professional medical assistance for a complete evaluation and appropriate treatment options.

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Author of the article

Dr.Greenblatt M.

Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont