Logo Dr Nicola Willis

Acne scarring

Intensive combination treatments for treating acne and scarring
Acne scarring can be a disfiguring and embarrassing condition that, up until recently, has been very difficult to treat. Dr Nicola Willis achieves excellent results with deep peels and fractionated resurfacing

Fractora Logo

Acne and scarring

Acne scarring can be a disfiguring and embarrassing condition that, up until recently, has been very difficult to treat. It is caused by severe, chronic, and acute on chronic acne lasting many years. As it progresses, it can leave typical scarring behind, some shallow craters, some deeper craters and some sharp and deep (known as ice pick lesions).

In treating acne scarring, I find that combining a course of several TCA peels with one or two Fractora treatments can make quite an impact on acne scarring. It can also be very useful in treating active acne.

How does Fractora work for acne?

Early treatments for scarring removed the surface of the skin; as the skin grew back, scarring was reduced, but the new skin was overly pale and plastic-like The logical progression was to FRACTIONATE the treatment. To remove some of the acne scarring but leave behind healthy normal skin which contained melanocytes etc. These would then multiply and grow into the resurfaced areas and the result was resurfaced skin which looked much smoother and more normal. Fractora is an advanced fractionated treatment with excellent results for reducing scarred skin. In addition, the stimulates the dermis to produce more collagen and elastin. The deep skin regains volume and the overlying skin looks fresher, smoother, with more even pigmentation.

Skin resurfacing - history

In the past, attempts were made to resurface the skin. This was initially done (under general anaesthetic) with sterile sandpaper. It was called DERMABRASION and is not to be confused with MICROdermabrasion found today being offered in salons. The problem with acne scarring is that no amount of gently removing the very top ‘dead’ layers of skin will help. And this is all microdermabrasion will do. It cannot remove living skin and this is what is needed to remodel the scars.
Although Dermabrasion was successful in reducing the size of the lesions it wasn’t terribly accurate in the depth of the skin removed and, consequently, scarring could occur which was every bit as bad. The main problem with this though, was that because ALL of the top layer of the skin was removed (including the healthy, unscarred skin and the melanocytes which give the skin pigment), the skin which healed after the treatment looked abnormally pale and, sometimes, plasticky in appearance. The next step in improving the accuracy of the depth of the skin removal came when lasers were used. The most common being the CO2 laser. And although it was more accurate, it still removed the whole of the top layer.

Fractionated resurfacing

The logical progression was to FRACTIONATE the treatment. To remove some of the acne scarring but leave behind healthy normal skin which contained melanocytes etc. These would then multiply and grow into the resurfaced areas and the result was resurfaced skin which looked much smoother and more normal. The fractionated CO2 lasers included FRAXEL and they have been used now as a standard basic resurfacing treatment for several years. There was still room for improvement though so the next step in the development of FRACTIONATED resurfacing was RadioFrequency treatments. They have the advantage over the CO2 treatments of having thermal contraction of the skin as part of the outcome. We have one of the most advanced in FRACTORA .
In treating acne scarring, I find that combining a course of several TCA peels with one or two Fractora treatments can make quite an impact on acne scarring. It can also be very useful in treating active acne.

Medium skin peels

Medium peels are excellent in the treatment of acne scarring and can be safely used during active acne phases where the results can be quite dramatic.
We use TCA (trichloroacetic acid) peels for our medium depth peels. They come in 2 strengths, 15% and 18%. This, too, is done in the course of a facial treatment with Akademikliniken skin care products and the appointment usually takes between 45 mins and an hour. There is a down time with this peel.
What to expect: On the day of the peel, the skin is red and looks like sunburn. The following day, this redness persists and the skin can look quite dry and needs regular application of moisturiser. The day after that, the dryness is more apparent and peeling may start. This is the least attractive day! By day 4 peeling has started and by day 5 it is nearly always complete, revealing fantastic brand new skin.
These peels will give a much better result after a course of 4.

Cost of treatments

TCA Peels. Course of 4 From £250

Fractora From £750 for first
From £500 for the second

"The best thing about the resurfacing fractora treatments I have had is that I now go out of the house without having to wear camouflage – my skin is healthy and fresh."

Get in touch

For your free consultation, please contact Dr Nicola Willis

Contact us

Advanced clinical skin rejuvenation at Dr Nicola Willis Clinic offers many procedures for skin including wrinkle relaxing treatments, dermal fillers, non-surgical facelifts, body-lipo and energy assisted treatments. The Practice is situated in an elegant Arts and Crafts House in Troon, Scotland and offers the charm of open fires and a very warm welcome. The Clinic is fully registered and regulated by Health Improvement Scotland.

Pin It on Pinterest

Share This