I'm a new Esty and I'm trying to expand my knowledge in order to provide my clients with the best treatment and care.   I think specializing in Acne Treatment is very rewarding because of the satisfaction that I feel after helping someone with acne.  Once I get my clients clear and on a maintenance program, what treatment(s) can I offer them that would reduce the appearance of acne scars? 

 

I would love everyone's input on this.  Thanks!

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I have been hearing a lot about using products with 1,3 beta glucans...they act as scavengers and apparently digest scar tissue.  I am using myself as a guinea pig...I have some scars I would love to reduce.  I was doing monthly glycolic peels, but I think it actually made the scars more apparent so I stopped.  I'm currently using the Osmosis acne products and have done one Facial Infusion.  I will be doing another one next week.  So far I am very happy with the results but it hasn't been long enough to determine any "transformation" or whether or not the scars actually will be reduced/improved.
Scars are hard.  The sooner they are treated, the better, but obviously, the client must be completely healed from their inflamed acne.  VERY shallow depression scars can be improved with microdermabrasion or keratolytic chemical peels.  I have used the two in combination - in a single treatment, microderm the skin reasonably aggressively and then do, say, a 30% glycolic peel, leaving on only a few minutes the first time, and then in subsequent treatments, as the client can tolerate it (these treatments are not comfortable, so start slowly), leaving the peel solution on longer and/or microderming more aggressively.  You'll want to consider perhaps 6 treatments, spaced at about every two weeks.  And sun protection is critical!  There is some controversy, by the way, about what order to do the two parts of the treatment in.  I've heard a very well respected medical esthetician say to peel first and microderm second.   In any case, be careful with higher Fitzpatrick types - these treatments are aggressive and can cause post-inflammatory hyperpigmentation.  Those clients need to be on tyrosinase inhibitors for a couple to several weeks before treatments start.  Also, these treatments are not for people with sensitive skin until that issue is resolved.  There's not much an esthetician can do for deeper depression scars or ice-pick scars.  That's medical territory; getting into the somewhat scary realm of dermabrasion and lasers.

Thank you Rachel and Mary Lou.  I really appreciate your comments.  

 

@Virginia - it depends on what you mean by acne scars?  Are you talking about red or dark spots? If so, that can definitely be lifted with homecare and peel treatments.  If you are talking about indented scarring that is a different conversation.  Can you tell me which one you are asking about?

@Laura - I have a client who had mild scarring, very shallow indentations.  I wanted to know if there was a treatment that could make hers skin look smoother and make those scars less appearant.   

@Virginia - I have had good luck in taking a strong TCA solution (40% to 60%) and put it right in the indent itself.  It blanches white, then turns dark the next day and forms a scab.  It will fall off in about a week.  YOu do this treatment once a month for 6 to 8 months and you will see a noticeable difference in the depth of the scar.
Hi Laura. can u please tell me what skin line peel are you using for this reason. I work with Vivant skin care those products are fantastic....thank you so much for your help on this!!!
Hi Raquel - I got the strong TCA from a doctor that I know, so I don't really have any "resources" for it.  You could use the 15% TCA in the Vivant Propeel Kit (bottle III) but it will take longer for the scar to blanch.
Laura, you are permitted to administer TCA in those percentages?  Holy cow.  Is this done with a doctor's "supervision?"  I'd love to try your technique, but my state board doesn't permit us to use TCA that strong ( I don't think).
Very true Mary....holy molly!
@Mary Lou - haha, probably not.  It's certainly not on my menu of services!

Very smart answer Laura . Very interesting answer here! Regards from California!

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