Treating Rolling Scars: Seven Possible Solutions
Rolling acne scars, with their characteristic wavy texture, can be a source of concern for many individuals. These pits or indentations in the skin, often wider than 4-5 millimeters and featuring sloped sides, are more common in areas where the skin is thick, such as the lower cheeks and jawline [1].
Dermatologists classify acne scars as mild, moderate, or severe based on their visibility and the degree of flattening when stretched. Various factors can contribute to the development of rolling scars, including severe acne, acne that has been present for some time before treatment, acne that relapses after treatment, male sex, picking at acne, smoking, and slow healing [2].
Fortunately, several treatment options are available to help reduce the appearance of rolling acne scars.
- Subcision
- This highly effective treatment involves a minor surgical procedure where a needle is used to break up the scar tissue beneath the skin, promoting collagen production [3][5].
- Micro-needling with Radio Frequency (RF)
- This treatment stimulates significant collagen production, improving the texture and appearance of rolling scars [3][4]. Micro-needles create tiny injuries in the skin, while radio frequency energy promotes deeper collagen production [3].
- Dermal Fillers
- Dermal fillers temporarily fill in the depressions of rolling scars, providing a smoother skin surface [5]. Injected materials like hyaluronic acid or collagen help to fill the scars, with results lasting about 6-18 months [5].
- Laser Resurfacing
- Laser resurfacing stimulates collagen growth and reduces the appearance of scars by breaking down scar tissue [2][5]. Light energy is used to target the scars, promoting new skin regeneration [3].
- Chemical Peels
- While less commonly used for rolling scars, chemical peels can help improve overall skin texture by removing damaged skin layers [2][5]. A chemical solution is applied to exfoliate the skin surface, helping to reduce the appearance of scars over time [5].
It is essential to note that each treatment has its unique benefits and may be used alone or in combination to achieve the best results. Consulting a dermatologist or skincare professional is crucial to determine the most appropriate treatment plan for individual cases of rolling acne scars.
In addition to professional treatments, microdermabrasion and derma rollers, which can be used at home, may help reduce the appearance of acne scars over time [1].
[1] American Academy of Dermatology. (2021). Acne Scar Treatment: Options and Procedures. [online] Available at: https://www.aad.org/public/diseases/acne-and-rosacea/acne/treatment/acne-scar-treatment
[2] American Society for Dermatologic Surgery. (2021). Acne Scars. [online] Available at: https://www.asds.net/public-education/disease-library/acne-scars
[3] British Association of Dermatologists. (2019). Acne Scars. [online] Available at: https://www.bad.org.uk/for-the-public/patient-information-leaflets/acne-and-acne-scars
[4] Mayo Clinic. (2021). Acne scar treatment. [online] Available at: https://www.mayoclinic.org/diseases-conditions/acne/in-depth/acne-scars/art-20048379
[5] WebMD. (2021). Acne Scar Treatment. [online] Available at: https://www.webmd.com/beauty/acne-scars-treatment
- The characteristic wavy texture of rolling acne scars can make individuals concerned about their appearance, especially when found on areas like the lower cheeks and jawline.
- To help reduce the appearance of rolling acne scars, treatments such as subcision, micro-needling with radio frequency (RF), dermal fillers, laser resurfacing, chemical peels, or even home treatments like microdermabrasion and derma rollers can be employed.
- Subcision is an effective treatment that uses a needle to break up scar tissue beneath the skin, promoting collagen production, while micro-needling with RF stimulates collagen production, improving scar texture and appearance.
- In the realm of skincare treatments, dermal fillers temporarily fill in the depressions of rolling scars, providing a smoother skin surface, and laser resurfacing stimulates collagen growth, reducing the appearance of scars by breaking down scar tissue. Additionally, although less commonly used for rolling scars, chemical peels can help improve overall skin texture.
