๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
MANAGEMENT OF ACNE SCARRING
MANAGEMENT OF ACNE SCARRING
Healing acne lesions may result in scar formation, especially when preceded by episodes of severe inflammatory nodulocystic acne. Although isotretinoin can be used to prevent acne scarring, in addition to inflammation, 95% of acne patients still develop scarring.53,54 While such scars can be permanent, laser and surgical treatments can alleviate the condition. Patients prone to scar formation tend to show a stronger and longer-lasting nonspecific inflammatory response, and scarring may be seen even in cases of mild acne.55 The first approach in the management of acne scarring involves prevention, with early acne treatment.56 After scar formation occurs, treatment should be tailored to the patientโs individual needs.
In order to treat acne scars, it is important to identify the scar type, effectively perform the procedure, and know the side effects and efficacy of each treatment option.
The three main types of acne scars include keloid scars, hypertrophic scars, and atrophic scars.57 Keloids and hypertrophic scars may be effectively treated with intralesional corticosteroids, and their management is detailed in Chapter 49.55,57