If you want the most bang for your buck, go with tretinoin. It is a derivative of vitamin A. The information on RealSelf is intended for educational purposes only. 631-377-7222 / 833-297-5033 900 Walt Whitman Road, Suite 101, Melville, NY 11747 2 doctor answers. Dr. Ed Friedlander answered. Atrophic scars can be further sub-classified into: ice pick; rolling; and boxcar. When I get a pimple it dries it out and speeds up the process of getting rid of it nicely but after every break out is gone there seems to be a very shallow indented scar left behind . How to use:For best results use light pressure, gently roll over skin in horizontal, vertical, and diagonal directions.Pass each area of the skin 2-3 times per direction. How long will the indent take to heal/ fill? Tretinoin works by increasing cell turnover which basically means that new skin is being made at a faster rate. Tretinoin for acne scars. Question: Had a hole punch out scar and had it revised on the tip of nose. In a prospective, randomized, split-face study of adults with postacne scarring, both treatments resulted in similar efficacy after 6 months, reported T.P. Lastly, rolling scars are âdepressed scars with gentle sloping edges that disappear when the skin is stretched,â says Chiu. The topical retinoid tazarotene could be an efficacious and practical alternative to microneedling for treating atrophic postacne scarring, according to a new study. Is boil inside nose folliculitis a cause for concern? Hello. Too help with indented scars, you need to build up the collagen in the area. Injectable fillers: Hyaluronic acid injections like Restylane and Juvederm arenât just wrinkle erasersâthey also help swell indented scars, says David J. Goldberg, MD, clinical professor of dermatology at New York Cityâs Mount Sinai School of Medicine.Results last for six months to a year; expect to pay around $600 per treatment. How it works on pitted acne scars: Microneedling facilitates exfoliation, improves skinâs appearance with a luminous look and gives skin a smoother feel. Will retin a help it fill faster? Detailed Answer: Precautions: Lasers can cause redness and swelling. Problem is I would like tip filled In back to original shape on tip as it left a wider indented scar. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Tretinoin is the best option for those who are looking for a powerful acne fighter or anti-aging product to add to their skincare routine. The other morning I was using a cleansing brush not thinking and the scab fell off. We rounded up the best before-and-after dermarolling pics that show the benefits for acne, scars, dark marks, and more. By contrast, median qualitative acne scar scores were the same for both treatment groups at baseline and did not change significantly following either treatment. It left a scab. Use of this site is subject to our Terms & Conditions, Brief Answer: You are already signed-up with us. A 17-year-old male asked: ... after using tretinoin my acne got better but it leave a scar can i use hydroquinone for my acne scar? I want to use retin a to get rid of my comedonal acne, but not if its going to create indent scars. The scars were there but not as indented. All rights reserved. Can retinA micro help or hurt? There are currently 10 Retin-A + Indentation questions and doctor answers on RealSelf. "since i'm on tretinoin cream which speeds up your cell turnover rate, would getting gylcolic peels for acne scars actually work faster?" Fillers. I've been reading a lot of mixed reviews on the pros and cons of Retin A. I'm clear of acne but just dealing with scars and indented skin issues. They can also help fade leftover redness in the skin. You should always speak with your doctor before you follow anything that you read on this website. Suggest treatment for headache, acne and weight gain, Suggest treatment for dandruff and red spot on scalp, Suggest treatment for itching acne on hand, Suggest treatment for itching sensation all over body. I finished my course of isotretionoin (roaccutane) a month ago. It works by peeling the upper layer of skin and dead cells and replace it with new fresh skin cells. Some people say return A causes scarring? I was told it was done correctly. I would suggest a wait and watch approach as the operated area and scar would remodel over the next few months and the final cosmetic result would see improvement. While we do connect people with vetted, board-certified doctors, we don’t provide medical consultations, diagnosis, or advice. I made sure to keep petroleum jelly on it. Tretinoin. Active non-intervention Topical Tretinoin, Vitamin C, hyaluronic acid, exfoliating acids, and collagen boosting foods may help best with these types of scars. The irritation and peeling are manageable but my acne has gotten worse. can retin a cause indent-type scars, or is this just part of the process? Stretch marks are typically diagnosed based on an examination of your skin and a review of your medical history. I am Dr. Kakkar (Dermatologist). If you’re experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Anyone had experience with this please? A study done in 2004 by T. Knor of Sarajeveo University Hospital found that 79 percent of participants experienced flattening of atrophic scars in three-and-a-half months when 0.05 percent tretinoin was applied to the skin by an electrical current called iontophoresis 2. Went through about 3 or 4. I have gone through your query and I have also reviewed the Image. Retin-A (tretinoin) is a prescription medication used to treat mild to moderately severe acne.It belongs to a group of medications called topical retinoids, medications that are derived from Vitamin A. Retin-A can help improve inflammatory acne and works especially well for treating comedonal acne (lots of blackheads and whiteheads). I'm using 0.1% tretinoin 20 minutes after dermarolling and then every day. Retin-A is very effective in scars and redness of the skin. If you donât want to treat your scar through lasers or surgery, then Tretinoin cream .025 will be a right choice for you. If you have any type of scarring like indented acne scars, you need tretinoin. Thank you for writing to us Boxcar scars are more round with sharper edges. I had 0.01ml of kenacort 10a injected into a small under skin cystic pimple 2 weeks ago and it has left a small dark indent in my chin which appeared 3 days later. Topical synthetic epidermal growth factor serum moderately improved the appearance of atrophic acne scars in a small pilot study. This would help in collagen and scar remodelling and improve the cosmetic appearance of scar. Soft-tissue fillers are a common treatment specifically for rolling atrophic acne scars. Before treatment I'd have one or two active pimples a month and now I have several new ones every few days. It is very shallow and slightly pink. Also, I'm almost 55 and concerned about aging skin. To help with indented scars, you need to build up the collagen in the area. I have shallow indented scars left behind after my breakouts - Is my retin a giving me scars? ... Ciro, I'm currently using tretinoin gel along with dermaroller. or anything good for acne scar? Tretinoin is one of the most popular acne scar topical prescription available. Around 3 months ago I was at the movie theather and happened to see my face in a mirror with light right over the drinking fountain. I have a small indented scar on my face that is year and three months old. Everything was perfect until one day around 3rd 4th month a small pitted indented scars around my cheek started to appear just like that. Also, acne scars tend to be indented - a type of scar that can be tricky to treat. When most people hear the phrase acne scars they usually think itâs just pigmentation. Tretinoin can help encourage the scar tissue to remodel itself, meaning that raised scars can flatten more, and indented scars can lay down more tissue to appear less deep. I love the way the tretinoin evened out my skin tone, faded sun spots, and made my skin look overall more healthy, but I don't want indented acne scars either. The cream is has won several awards which boast of its reliance and effectiveness. Needling a hypo-pigmented scar will also cause your pigment producing cells to move from the surrounding skin into the scar, improving its color. You may use a topical tretinoin 0.025% Or 0.05% cream once daily at night for next 3-4 months. Ablative resurfacing is for severe, indented scars. Although rare, some people have had burns and blisters. You may use a topical tretinoin 0.025% Or 0.05% cream once daily at night for next 3-4 months. I did some laser treatments which helped some. Enter your password. Do not roll over the same section more than 10 times. Now tip is still indented and scarred and is not as refined but more bulbous as scar revision runs through middle. I've started using retin a and im noticing what look like very shallow patchy indents, once my skin starts flaking off. Any health question asked on this site will be visible to the people who browse this site. Afra, MD, and associates from the department of dermatology, â¦ How long until I see results? I would like to know when was the procedure done? At the end of 12 weeks of twice-daily application, scar appearance improved from 2.875 to 2.38 points on a 5-point investigator global assessment scale. I was hit by some type of spider. They â¦ Copyright 2020 © healthcaremagic.com. Hole is gone but nose tip altered. Low breathing rate indigestion nose block suggested dns surgery solution, Suggest treatment to remove post injury scar on nose, Using otrivin for blocked nose suggest any permanent solution, Perfume smell in nose giving headaches suggest solutions. It left a pretty big indent. I have been using tretinoin cream 0.5 and then 0.1 gel for 6 months on nightly basis. I had a zit and I stupidly tried to pop it. Indented scars â atrophic scars. The researchers concluded that treating acne scars using tretinoin could potentially replace more invasive techniques, such as dermabrasion or chemical peels, or be useful as a complementary medication alongside other acne scar treatments. This is really bad I've never seen this many scars on my face before and I'm not going crazy I know you guys will say it's not the Retin a .. This creates a mixture of scar tissue and normal tissue and results in a smoother, better looking, softer scar. When I get a pimple it dries it out and speeds up the process of getting rid of it nicely but after every break out is gone there seems to be a very shallow indented scar left behind . I started using 0.05% tretinoin nightly 5 weeks ago. Regards. In this scar type, there has been inadequate scar tissue formation to create a surface that is flush with the adjacent skin or loss of fat beneath the skin. It has been a year and I also have use scar gel. If your doctor suspects an increase in your cortisol production, he or she may recommend additional tests. Rolling scars create some sort of depression onto the skin, unlike pigmentation, which results in dark spots and an uneven skin tone. Hyperpigmented marks can be treated with hydroquinone -- be sparing -- but real indented scars won't respond a..." Ask doctors free. I can see the exact spot the needle went in. Is there any risk with using tretinoin? This is a common scar type and can often be seen in areas that have been affected by acne and can occur on the the face or body. I have been using retin a .1 for almost three months. The exact prevalence of each scar type is hard to calculate but some estimations report that within atrophic scars, the ice pick type represents 60â70%, box-car 20â30%, and rolling scars 15â25%.2,4 Ice pick scars â¦ Will Retin-A help to fill this in? I scratched my cheek 18 months ago and have a shallow indented linear scar. Luckily, Tretinoin has the dual capability of helping clear the original breakout, while also reducing the appearance of the scars left from previous breakouts. 7 Tips To Improve Acne Scars! Recently I started noticing that I was getting more indents/pitted scars on my left cheek. This is great for indented acne scars because it makes new skin cells that couldnât be regenerated. The treatment was most effective on younger acne scars, as well as with narrow, indented icepick scars. Topical Tretinoin , Vitamin C, hyaluronic acid, exfoliating acids, and collagen boosting foods may help best with these types of scars. I have been using retin a .1 for almost three months. Anyone know which is better for atrophic scars, adapalene or tretinoin (I have mild indented rolling scars)? Indented scars fill and raised scars flatten. Is it possible... Retin a is causing me scars that were never there before.. Can this happen or is it just making them more visible as its exfoliating my skin .. Consult with a doctor virtually or in person. The median quantitative score for acne scar severity for tazarotene decreased from a baseline of 8.0 to 5.0, and for microneedling, from 7.0 to 4.5. from using 0.1 Tretinoin Gel. At night I put retin-A on it to help the skin. Tretinoin can also be used to decrease the appearance of acne sc a rring. Tretinoin cream is a topical derivative of vitamin A, which is used to treat acne but also has many properties that can help fade discolored skin and other certain types of scars. Thank you. Non-ablative lasers are best for scarring that is not as bad. I would suggest a wait and watch approach as the operated area and scar would remodel over the next few months and the final cosmetic result would see improvement. By proceeding, I accept the Terms and Conditions, Download Here Free HealthCareMagic App to Ask a Doctor, All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. 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