acne scars

The Best Acne Scar Treatment | Part One: Different Types of Acne Scars

acne scarsThe Best Acne Scar Treatment | Part One:

Different Types of Acne Scars

Acne is bad. But acne scars seem infinitely worse. And 30% of men and women who suffer from moderate to severe acne will develop them. Fortunately, people searching for the best acne scar treatment have several options.

In this two part series from Santé Medical Aesthetics, you will learn about the different types of acne scars and discover available treatments that improve the appearance of acne scars for smooth, beautifully clear skin.

What Causes Acne Scars?

Acne creates an inflammatory injury that can damage surrounding skin and tissue. In response to this injury, the body’s healing mechanism stimulates the production of collagen. Acne scars form when the body creates too little collagen, leading to depressed acne scars, or too much collagen, leading to raised acne scars.

In addition to acne scars, bad flare-ups can leave behind acne marks, or pigmentation “scars” caused by vascular injuries or the overproduction or underproduction of melanin.

The best acne scar treatment depends on the type of scar being treated and individual considerations of the patient, such as skin tone.


Depressed acne scars, also known as pitted acne scars are the most common type of acne scars. Depressed acne scars are categorized as atrophic scarring, or scarring that result from a loss of tissue. While depressed acne scars can form anywhere on the body that experiences breakouts, they are most commonly found in the area around the cheeks.

There are three categories of depressed acne scars:

Ice pick scars

acne scars

Ice pick scars form when a bacterium from an infected hair follicle makes its way up the hair shaft to the skin’s surface, damaging surrounding tissue. This creates a long, narrow channel of scar tissue resembling a puncture wound from an ice-pick. Because of their depth, icepick scars are the most difficult to treat.

Boxcar scars

acne scars

Boxcar scars form when bacteria from acne destroy skin tissue and the body does not create enough collagen to fully replace all of the tissue loss. This results in a depressed scar that is typically oval with steep, angular edges.

Rolling Scars

acne scars

Rolling scars result when fibrous tissue is regenerated between skin layers. The band-like tissue, which is connected to both layers of skin, tugs on the top layer of skin. This pulls the surface skin down, creating wave like scars. Rolling scars are typically wider than boxcar scars, but have soft, sloping edges that create undulations across the surface of the skin.

Raised Acne Scars

Raised acne scars are a type of hypertrophic scarring, or the overproduction of collagen tissue following an inflammatory injury.

There are two main types of raised acne scars:

Hypertrophic scars

acne scars

Hypertrophic scarring results from the production of too much collagen causing the fibrous tissue to build up on the surface of the skin where the wound use to be. Raised acne scars are associated with slow healing lesions. Hypertrophic scars are typically reddish in color and are most commonly found on the torso of men suffering from severe, inflammatory body acne. These scars typically fade and flatten over time. However, without professional acne treatment, the healing process can span years.

Keloid  Scars

acne scars

Keloid scars are less common but more severe than hypertrophic acne scars. They result when an infection breaks through the surface of the skin and the body sends too much collagen to the surface of the skin to seal over the wound. Unlike Hypertrophic scars that are isolated to the infected lesion, Keloid acne scars can grow beyond the boundaries of the original acne lesion. Keloid scars are more common in individuals with dark skin tones and appear as pink, rubbery masses of scar tissue.


Acne marks, or pigmentation scars are not technically scars. Known as “pseudo scarring” acne marks are macules that leave flat spots of discolored skin. These marks can range in color from dark brown to pink. Acne marks can discolor the skin for several months to a few years following a break out.

The 2 Most Common Types of Acne Marks:

Post Inflammatory Hyperpigmentation (PIH)

acne scars

Post Inflammatory Hyperpigmentation (PIH) occurs when the body produces too much melanin, the dark pigment found in our skin, in response to an inflammatory injury, like acne. Any skin type can experience PIH, but it is most commonly seen in people with darker skin tones.

PIH macules are typically black or brown and become worse with sun exposure. The only good news about PIH is the macules are usually not permanent, although they can take a very long time to clear up on their own without the help of acne scar treatments.

Post Inflammatory Erythema (PIE)

acne scars

Post inflammatory erythema (PIE) occurs when the body increases blood flow to an injury site in response to broken or ruptured capillaries. These types of acne marks are made worse by picking at acne or popping pimples. PIE is most commonly seen in people with lighter skin types.

PIE macules are typically purple, red, or pink and can discolor the face for several months.

The Best Acne Scar Treatments

While acne scars and marks can mar the face long after breakouts have cleared up, there are numerous non-invasive treatments that effectively diminish the appearance of these scars. Find out about the best acne scar treatments for improving your specific type of acne scars in part II of Sante’s Acne scar treatment series.

Read Part II: Professional Acne Scar Treatments >>


Liposuction vs CoolSculpting : Dallas Fat Reduction Options

liposuctionLiposuction vs CoolSculpting : Dallas Fat Reduction Options

Liposuction is the second most popular cosmetic surgery in America, with nearly 250,000 procedures performed in 2017. Introduced nearly 3 decades ago, Liposuction was once the golden standard for reducing unwanted bulges like belly Fat, love handles, thigh fat, upper arm fat and double chins.

Liposuction is effective, but has major drawbacks. The most alarming perhaps, being the invasive nature of cosmetic surgery. Going under the knife for liposuction involves scalpels, stitches, general anesthesia, and lengthy recover times. Not to mention that plastic surgeons, operating rooms, and anesthesiologists come with a hefty price tag.

The Liposuction procedure

The specifics of a liposuction procedure depend on the area being treated, but basically, a patient is sedated with general anesthesia. Once the patient is fully under, the plastic surgeon makes incisions with a scalpel. He sticks a cannula (a tube with a sharp point and a suctioning device) through the incisions (known as stab incision) and uses the cannula to break up fatty tissue. The surgeon then suctions some of the fatty tissue out of the body through the cannula.

CoolSculpting: The Non-Surgical Alternative to Liposuction

It wasn’t very long ago when liposuction was the only option for men and women who could not get rid of stubborn fat. However, medical advancements and breakthroughs in cosmetic technologies now offer non-invasive fat reduction treatments, providing a safe and effective, non-surgical alternative to liposuction or a tummy tuck.

The most popular non-invasive fat reduction treatment is CoolSculpting. With more than 5 million procedures performed worldwide, to date, the fat freezing phenomena has spanned the globe.


The CoolSculpting procedure is starkly different from a liposuction procedure. This non-invasive treatment reduces stubborn bulges by exposing fat cells to controlled cooling. In a scientifically proven process known as cryolipolysis, a cooling applicator is attached to a treatment area. The applicator delivers precisely controlled cooling to the treatment area, freezing the underlying fat cells, without harming the skin or surrounding tissue. Once the fat cells are frozen, they rupture and undergo apoptosis, or cell death. The lymphatic system gradually collects the destroyed fat cells over the span of several weeks and processes them out of the body in the form of waste. Once fat cells are excreted from the body they cannot grow back, resulting in natural looking, long lasting fat reduction.

Discover How to Chill Away Fat with CoolSculpting

From Santé Medical Aesthetics: A Certified Dallas CoolSculpting Provider

CoolSculpting is the only FDA cleared fat reduction treatment that safely and effectively reduces stubborn bulges by exposing fat cells to controlled cooling.

So which fat reduction treatment, CoolSculpting or Liposuction is right for you?

CoolSculpting Cost vs. Liposuction Cost

According to the American Society of Plastic Surgeons, based on a national average in 2016, the cost of liposuction, for a single treatment area was $3,200. Although this price tag can vary widely depending on your location and the surgeon you use. The $3,200 represents the cost for liposuction only. It does not include other related and necessary expenses such as paying for the use of the operating room and the anesthesiologist fees, which can easily add $1,600 to the overall cost of liposuction, taking it to nearly $5,000.

CoolSculpting cost is much more affordable. On average, CoolSculpting cost is usually half that of Liposuction.

Learn more about CoolSculpting Cost >>

CoolSculpting Recovery vs. Liposuction Recovery

CoolSculpting is a comfortable, non-invasive treatment that requires no downtime. Patients are free to return to their normal activities, including exercise, immediately after their fat freezing treatment. Liposuction recovery on the other hand is lengthy. Patients are restricted in activity for at least 2 weeks. They must also wear a compression garment for two weeks. Bruising can last for several weeks and most patients are told it will take several months for the swelling to completely subside before they can see the full effect of their liposuction results.

CoolSculpting Results vs. Liposuction Results.

With cosmetic procedures, usually the more invasive the treatment, the more dramatic the results. Liposuction will typically reduce more fat than non-invasive fat reduction treatments such as CoolSculpting.

That is not to say that CoolSculpting is not effective. It is very effective at reducing stubborn fat deposits, as all the raving CoolSculpting reviews and impressive CoolSculpting before and after pictures demonstrate. Clinical studies confirm how effective CoolSculpting is reporting, “cryolipolysis was shown to reduce subcutaneous fat at the treatment site by up to 25% after one treatment.”* While results may vary, “improvements were seen in 86% of treated subjects.”¹ *

CoolSculpting Near Me: Fat Freezing in Dallas

If you are a healthy man or woman who struggles with stubborn fat deposits that resist diet and exercise and want a non-invasive way to reduce that fat, CoolSculpting may be a good solution. The best way to learn whether liposuction or CoolSculpting is right for you is to schedule a free consultation with a fat reduction specialist from Santé Medical Aesthetics.


The Best Microneedling Method: Dermaroller vs. Micropen


The Best Microneedling Method: Dermaroller vs. Micropen

Microneedling, also called Collagen Induction Therapy, is a popular, non-invasive skin rejuvenation procedure. Like its name suggest, Microneedling uses small needles to prick the surface of the skin in order to create micro-wounds. These micro-wounds trigger the body’s natural healing processes. The response is superficial inflammation, which plumps up the skin and makes it look more radiant. The micro-wounds also stimulate long-term benefits by stimulating the production of more collagen. This rejuvenates the skin, improving the overall appearance of your skin, smoothing skin texture, and aiding in the treatment of various skin issues, such as acne or the signs of aging

Collagen induction therapy is effective as a stand-alone treatment, but recently, the numerous scientific studies have shown the advantage of using Micro Needling in conjunction with other treatments. Micro Needling enhances the effects of microdermabrasion and other dermabrasion treatments. It is a proven drug delivery enhancement system. In layman terms, Micro Needling improves the absorption of skin benefiting topical agents, like those used during Hyaluronic acid facials and Blood facials (commonly known as the vampire facial.) Microneedling is also being used with micro blood plasma hair restoration.²

Benefits of Microneedling

  • Natural skin rejuvenation
  • Stimulates collagen production
  • Skin looks plumper and more radiant shortly following treatment
  • Improve the appearance of stretch marks
  • Targets the signs of aging such as fine lines and wrinkles
  • Smooth skin texture
  • Target pigmentation irregularities for even skin tone and color
  • Enhances the effects of other skin treatments
  • Minimal discomfort and fast recovery time
  • Safe on all skin types*

Different Methods of Microneedling

There are various instruments used for Microneedling. The original instrument for collagen induction therapy was a Dermaroller. A newer instrument for Microneedling is the Dermapen also known as a Micropen. While both the Microneedling pen and the Microneedling roller rejuvenate the skin using collagen induction therapy, the delivery method and mechanism are different, offering unique advantages and disadvantages for each.


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What is a Dermaroller?

The Dermaroller is a handheld tool equipped with rolling drum that is lined with thin needles. The drum is rolled across the skin, allowing the needles to puncture the epidermis, creating micro-injuries that stimulate the skin’s natural healing process.

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What is a Micropen?

A Microneedling pen or Dermapen is a technological upgrade to the traditional Dermaroller.  The Micropen is a cordless, handheld device that uses a disposable tip equipped with fine needles. The Micropen is powered by a small motor and its needles penetrate the skin vertically, allowing for a more consistent delivery.

Microneedling in Southlake, TX

Natural Skin Rejuvenation from the #1 Microneedling Southlake Provider

Santé Medical Aesthetics offers natural skin Rejuvenation using the Eclipse Micropen, the preferred method for Microneedling. Discover what Microneedling can do for you and check out genuine Microneedling before and after pictures.

Dermaroller vs. Micropen

The Micropen is a more advanced delivery mechanism for Microneedling and has many advantages over the older method of Microneedling using a Dermaroller

Micropens are less painful, less traumatic on the skin, and require less downtime. The Dermaroller inserts needles into the skin at a 45-degree angle. This tends to create tearing wounds as the drum is drug across the skin. In comparison, needles from the Micropen penetrate the epidermis vertically, creating a clean puncture wound that heals quickly.

Micropens are more consistent. Micropens are motorized, allowing for controlled, consistent penetration of the skin, unlike Dermarollers, that are manually powered and often result in user error, puncturing the skin too deep or inconsistently.

The Dermapen is more versatile. Because of its shape, Dermapens can easily treat areas of the face that a Dermaroller has difficulties with, such as around the eyes, the upper lip, and around the nose.

Micropens provide customizable treatments. The size of the needle and the depth of the penetration may be customized when using Micropens to tailor treatments to the patient’s individual areas of concerns and skin issues.

The Dermapen is more sanitary. Disposable tips are far more sanitary than using the same drum.

The Micropen is more effective. After safety, the biggest advantage Micropens have over Dermarollers is efficacy. Micropens just work better.

Dermarollers are less expensive. Perhaps the only advantage of Dermarollers over Micropens is cost and convenience. Dermarollers are available for Microneedling at home. Moreover, because Micropens incorporate more advanced technology, treatments with a Micropen can be slightly more expensive than treatments with a Dermaroller.

Microneedling Near Me

Just remember, with most cosmetic treatments, you get what you pay for, and when it comes to penetrating your face with needles, you should really refer to a professional, like the skin care experts at Santé Medical Aesthetics. Conveniently located in Southlake, Texas, Santé is a premier Dallas Microneedling provider. Learn more about Microneedling by signing up for a free consultation online or by calling Santé at (817) 305-0050.