I scratched my cheek 18 months ago and have a shallow indented linear scar. Regards. This creates a mixture of scar tissue and normal tissue and results in a smoother, better looking, softer scar. 7 Tips To Improve Acne Scars! 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 . 631-377-7222 / 833-297-5033 900 Walt Whitman Road, Suite 101, Melville, NY 11747 Afra, MD, and associates from the department of dermatology, … I would like to know when was the procedure done? Boxcar scars are more round with sharper edges. I did some laser treatments which helped some. I have a small indented scar on my face that is year and three months old. 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 .. While we do connect people with vetted, board-certified doctors, we don’t provide medical consultations, diagnosis, or advice. 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. Anyone had experience with this please? I've started using retin a and im noticing what look like very shallow patchy indents, once my skin starts flaking off. Consult with a doctor virtually or in person. The irritation and peeling are manageable but my acne has gotten worse. You may use a topical tretinoin 0.025% Or 0.05% cream once daily at night for next 3-4 months. Topical Tretinoin , Vitamin C, hyaluronic acid, exfoliating acids, and collagen boosting foods may help best with these types of scars. To help with indented scars, you need to build up the collagen in the area. can retin a cause indent-type scars, or is this just part of the process? 2 doctor answers. I had a zit and I stupidly tried to pop it. I'm using 0.1% tretinoin 20 minutes after dermarolling and then every day. Is there any risk with using tretinoin? Can retinA micro help or hurt? Atrophic scars can be further sub-classified into: ice pick; rolling; and boxcar. I made sure to keep petroleum jelly on it. 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. It is a derivative of vitamin A. 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. How long until I see results? 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. Tretinoin. If you’re experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Topical synthetic epidermal growth factor serum moderately improved the appearance of atrophic acne scars in a small pilot study. Hello. Is boil inside nose folliculitis a cause for concern? 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. I am Dr. Kakkar (Dermatologist). Went through about 3 or 4. 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 .. 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. It works by peeling the upper layer of skin and dead cells and replace it with new fresh skin cells. Non-ablative lasers are best for scarring that is not as bad. Injectable fillers: Hyaluronic acid injections like Restylane and Juvederm aren’t just wrinkle erasers—they also help swell indented scars, says David J. Goldberg, MD, clinical professor of dermatology at New York City’s Mount Sinai School of Medicine.Results last for six months to a year; expect to pay around $600 per treatment. Recently I started noticing that I was getting more indents/pitted scars on my left cheek. Retin-A is very effective in scars and redness of the skin. Hole is gone but nose tip altered. Dr. Ed Friedlander answered. This is great for indented acne scars because it makes new skin cells that couldn’t be regenerated. 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). If you have any type of scarring like indented acne scars, you need tretinoin. When most people hear the phrase acne scars they usually think it’s just pigmentation. I finished my course of isotretionoin (roaccutane) a month ago. The information on RealSelf is intended for educational purposes only. Will retin a help it fill faster? If you want the most bang for your buck, go with tretinoin. I can see the exact spot the needle went in. Anyone know which is better for atrophic scars, adapalene or tretinoin (I have mild indented rolling scars)? Soft-tissue fillers are a common treatment specifically for rolling atrophic acne scars. Use of this site is subject to our Terms & Conditions, Brief Answer: 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. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Enter your password. I want to use retin a to get rid of my comedonal acne, but not if its going to create indent scars. If you don’t want to treat your scar through lasers or surgery, then Tretinoin cream .025 will be a right choice for you. 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. Tretinoin is one of the most popular acne scar topical prescription available. The cream is has won several awards which boast of its reliance and effectiveness. 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. You may use a topical tretinoin 0.025% Or 0.05% cream once daily at night for next 3-4 months. It left a scab. They … Ablative resurfacing is for severe, indented scars. Tretinoin for acne scars. The topical retinoid tazarotene could be an efficacious and practical alternative to microneedling for treating atrophic postacne scarring, according to a new study. or anything good for acne scar? Precautions: Lasers can cause redness and swelling. You are already signed-up with us. Also, I'm almost 55 and concerned about aging skin. It left a pretty big indent. Although rare, some people have had burns and blisters. Do not roll over the same section more than 10 times. I started using 0.05% tretinoin nightly 5 weeks ago. I have been using retin a .1 for almost three months. If your doctor suspects an increase in your cortisol production, he or she may recommend additional tests. Everything was perfect until one day around 3rd 4th month a small pitted indented scars around my cheek started to appear just like that. Indented scars – atrophic scars. I have gone through your query and I have also reviewed the Image. Thank you. Any health question asked on this site will be visible to the people who browse this site. 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. 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. Topical Tretinoin, Vitamin C, hyaluronic acid, exfoliating acids, and collagen boosting foods may help best with these types of scars. They can also help fade leftover redness in the skin. It is very shallow and slightly pink. How it works on pitted acne scars: Microneedling facilitates exfoliation, improves skin’s appearance with a luminous look and gives skin a smoother feel. Luckily, Tretinoin has the dual capability of helping clear the original breakout, while also reducing the appearance of the scars left from previous breakouts. This would help in collagen and scar remodelling and improve the cosmetic appearance of scar. 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. You should always speak with your doctor before you follow anything that you read on this website. Lastly, rolling scars are “depressed scars with gentle sloping edges that disappear when the skin is stretched,” says Chiu. Too help with indented scars, you need to build up the collagen in the area. 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. Stretch marks are typically diagnosed based on an examination of your skin and a review of your medical history. At night I put retin-A on it to help the skin. I have shallow indented scars left behind after my breakouts - Is my retin a giving me scars? Some people say return A causes scarring? from using 0.1 Tretinoin Gel. Thank you for writing to us It has been a year and I also have use scar gel. Active non-intervention Detailed Answer: Hyperpigmented marks can be treated with hydroquinone -- be sparing -- but real indented scars won't respond a..." Ask doctors free. Fillers. I have been using retin a .1 for almost three months. 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. Needling a hypo-pigmented scar will also cause your pigment producing cells to move from the surrounding skin into the scar, improving its color. How long will the indent take to heal/ fill? 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. In a prospective, randomized, split-face study of adults with postacne scarring, both treatments resulted in similar efficacy after 6 months, reported T.P. All rights reserved. I was told it was done correctly. By contrast, median qualitative acne scar scores were the same for both treatment groups at baseline and did not change significantly following either treatment. Question: Had a hole punch out scar and had it revised on the tip of nose. Now tip is still indented and scarred and is not as refined but more bulbous as scar revision runs through middle. We rounded up the best before-and-after dermarolling pics that show the benefits for acne, scars, dark marks, and more. There are currently 10 Retin-A + Indentation questions and doctor answers on RealSelf. I have been using tretinoin cream 0.5 and then 0.1 gel for 6 months on nightly basis. Problem is I would like tip filled In back to original shape on tip as it left a wider indented scar. Will Retin-A help to fill this in? Tretinoin can also be used to decrease the appearance of acne sc a rring. 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? 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. ... Ciro, I'm currently using tretinoin gel along with dermaroller. Tretinoin works by increasing cell turnover which basically means that new skin is being made at a faster rate. Indented scars fill and raised scars flatten. 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. Copyright 2020 © healthcaremagic.com. Also, acne scars tend to be indented - a type of scar that can be tricky to treat. The other morning I was using a cleansing brush not thinking and the scab fell off. Rolling scars create some sort of depression onto the skin, unlike pigmentation, which results in dark spots and an uneven skin tone. The treatment was most effective on younger acne scars, as well as with narrow, indented icepick scars. Before treatment I'd have one or two active pimples a month and now I have several new ones every few days. 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. The scars were there but not as indented. The exact prevalence of each scar type is hard to calculate but some estimations report that within atrophic scars, the ice pick type represents 60–70%, box-car 20–30%, and rolling scars 15–25%.2,4 Ice pick scars … 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 . "since i'm on tretinoin cream which speeds up your cell turnover rate, would getting gylcolic peels for acne scars actually work faster?" 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. 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I am Dr. Kakkar ( Dermatologist ) retinoid tazarotene could be an efficacious and practical alternative to microneedling for atrophic... ; and boxcar - a type of scarring like indented acne scars, you need to build up collagen. The surrounding skin into the scar, improving its color thinking and the scab fell off weeks... Of my comedonal acne, but not as bad acne has gotten worse you follow anything that read! Doctor before you follow anything that you read on this website like to know when was the procedure?. Indents/Pitted scars on my left cheek scar will also cause your pigment producing cells to move from surrounding!