How Aesthetic Medicine Can Treat Acne and Scars

Aesthetic medicine offers a comprehensive and highly effective approach to treating active and inflammatory acne on the ground, without also the most frustrating consequences: scars and blemishes (hyperpigmentation). The treatment is always personalized and must be directed by an aesthetic doctor or dermatologist, who combines procedures to control sebum production, reduce inflammation and regenerate damaged skin.

Here you have a detailed analysis of the most effective strategies.

The Pillar of Diagnosis: Active Acné vs. Sequels

Before any procedure, the doctor must assess whether the acne is active (inflammatory) or whether the main problem is scars. The treatment plan is drawn up accordingly.

Active Acne Treatment (Sebum and Inflammation Control)

The objective is to reduce the P. acnes bacteria, unclog pores and control excess grease.

Chemical Peel (Salicylic or Glycolic Acid):

Mechanism: Salicylic acid is liposoluble, which means it penetrates pores and dissolves grease and dead cells that obstruct them.

Benefit: Reduces breakouts, deflates existing lesions and improves the general texture of the skin. If suelen recommends several sessions.

Photodynamic Therapy with Blue LED Laser:

Mechanism: Uses specific wavelengths of light to attack and destroy the bacteria Cutibacterium acnes (formerly P. acnes), which causes acne inflammation.

Benefit: It is a safe and non-invasive treatment that reduces inflammation and the number of active lesions.

Treatments for Acne Scars (Piel Remodeling)

For atrophic scars (depressions in the skin such as ice-pick, boxcar or rolling), treatment focuses on encouraging the massive production of collagen.

Fractionated Laser (CO2 or Erbium)

Mechanism: The fractionated laser (especially CO2) is the most powerful treatment for scars. Creates controlled microlesions on the skin, eliminating old scar tissue and forcing intense collagen and elastin regeneration.

Benefit: Relieves depressions, smoothes the edges of scars and tightens the skin.

Recovery: This is the treatment with the longest downtime (recovery time), as the skin becomes reddened and peeled.

Microneedling with Radio Frequency (Morpheus8)

Mechanism: Combines micro-needles that penetrate the skin with radio frequency energy. This energy is released into the dermis, warming the tissue and stimulating the production of collagen and elastin.

Benefit: Remodels the scar tissue from within, being very effective for deep scars.

Subcisión y Rellenos

Subcision: A procedure in which a needle is used to break the fibrous bands that take away from the skin below, causing depression of the scar.

Hyaluronic Acid: Low density hyaluronic acid is used to repair atrophic and superficial scars, equalizing the skin level.

Treatments for Spots (Post-Inflammatory Hyperpigmentation)

The red or brown spots that cause an acne breakout are not scars and are treated differently.

Intense Pulsed Light (IPL): Uses broad spectrum light to attack melanin and hemoglobin, eliminating brown spots (pigment) and red spots (blood vessels) caused by inflammation.

Depigmenting Peeling: Specific acids are used to exfoliate the skin and lighten blemishes.

Conclusion and Integral Approach

The key to erasing acne scars is a combined plan designed by an expert. It is essential that the aesthetic treatment is complemented by a home care routine that includes strict sun protection (to prevent dark spots from appearing) and the use of products with retinol or salicylic acid, under medical supervision.