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Rolling Scars Treatments
Rolling scars are one of the most common forms of acne scarring. They are a form of atrophic scar that may form after severe acne breakouts. Although rolling scars cannot be completely removed, various acne treatments may help address them and improve their appearance. Learn more about the causes of rolling scars, how to prevent them, and the available rolling scar treatments at CuraMed Medical and Aesthetic Clinic.
What Is A Rolling Scar?
A Rolling scar is a type of acne scar that appears as wave-like depressions on the skin. Rolling scars result from insufficient collagen during the acne healing process, leading to the development of abnormal fibrous bands between the dermis and subcutaneous tissues. As the skin ages and loses elasticity, indentations of rolling scars may become more evident, especially along the jawline, temples, and lower cheeks.
What Do Rolling Scars Look Like?
Rolling scars are characterised by shallow, hollow depressions in the skin. These scars have a smooth, sloping edge and a broad base, which gives the skin a rough, uneven appearance. They are usually wider but more subtle than other acne scarring, such as icepick and boxcar scars.
Boxcar Scars vs. Rolling Scars
Boxcar and rolling scars are two different types of atrophic scarring. While both stem from a lack of collagen needed for the acne healing process, boxcar scars appear as sunken or pitted indentations in the skin with sharp edges and a broad base. Conversely, rolling scars have sloping edges with uneven depths that give them a wave-like appearance.
Additionally, boxcar scars typically have shallow to moderate depth, while rolling scars tend to be shallow or deeper. Boxcar scars are also commonly found on the cheeks and temples, while rolling scars typically form around the lower cheeks and jawline.
Causes of Rolling Acne Scars
Rolling scars from acne may arise or worsen due to various factors, including:
Inflammatory acne
Deep, long-lasting inflammatory acne, such as cysts or nodules, is the main cause of rolling scars because it damages the skin’s collagen and subcutaneous tissue.
Collagen destruction
When collagen fibres in the skin’s deeper layers are broken down due to ageing, chronic stress, or prolonged UV exposure, fibrous bands may develop beneath the skin’s surface and pull it downward, causing rolling scars.
Genetics
Some individuals may naturally have a higher predisposition to developing scarring after a breakout due to genetic factors. Although not a primary cause, this may increase their likelihood of having rolling scars.
Delayed or improper acne treatment
Delayed treatment of acne or habits such as picking or popping acne lesions also increase the risk of scarring.
Rolling Scar Treatments in Singapore
Rolling scars are a common textural skin issue that may cause concern. Your doctor can recommend several approaches for rolling scar removal that are suitable for your skin, including:
Subcision
Subcision for acne scars is one of the most common rolling scar treatments that uses a needle to break up the scar tissue beneath the skin surface. It may help depressed scars to rise and become less noticeable. It can also stimulate new collagen production to improve skin texture.
Chemical Peel
A chemical peel is a treatment in which chemical solutions are applied to help remove dead skin cells and reveal the skin beneath. It may also help the skin renewal process by stimulating collagen production. Our doctor may recommend specific chemical solutions depending on your skin condition, such as a trichloroacetic acid or TCA peel. This can help trigger your skin’s healing response and support the formation of collagen, which may reduce the appearance and depth of the acne scars.
Dermal Fillers
Dermal fillers are injections that address deep rolling scars by filling the gap beneath the scar. The scar is elevated to the level of the surrounding skin, which may help it appear smoother and less noticeable.
BB Thulium
BB Thulium is a type of laser treatment that may help address acne scars and improve skin texture. By delivering laser energy into the skin, collagen production is stimulated, which may help reduce acne scar visibility over time.
Carbon Laser Peel
A carbon laser peel is a treatment that combines the application of a specialised carbon lotion with laser technology to help exfoliate and rejuvenate the skin. The laser pulses may help remove debris and improve the appearance of acne scars. It is usually recommended for milder cases of rolling scars.
Laser Resurfacing
Laser resurfacing may help address rolling acne scars through focused beams of light. The laser energy breaks down scar tissue, which may help make the rolling scars less noticeable without affecting the surrounding healthy tissue.
Microneedling
Microneedling is a treatment to help improve collagen production. This treatment uses small needles to puncture the scars, which may help to reduce their depth and trigger the skin’s natural healing process.
Microdermabrasion
Microdermabrasion may be recommended for mild rolling scars. This treatment uses a machine to exfoliate the skin’s outermost layer, helping achieve a smoother, more even skin surface.
How To Prevent Rolling Scars?
Rolling scars are more challenging to address once they have occurred. Here are simple prevention methods you can try to help reduce the likelihood of forming rolling scars after acne lesions.
Have a Consistent Skincare Routine
A consistent skincare routine helps prevent acne and its subsequent scarring. This includes a gentle cleanser, moisturiser, and sunscreen. If you have acne-prone skin, look for additional products with ingredients such as retinoids, salicylic acid, and benzoyl peroxide.
Regular exfoliation may also help remove dead skin cells. If you are unsure, consult with your doctor about the products that are suitable for your skin type.
Avoid Picking and Squeezing Acne
Picking and squeezing acne can worsen inflammation and even lead to infection and scarring. When you have acne lesions, give your skin time to heal, and avoid touching your face with your hands to prevent bacteria from spreading to your face.
Implement Lifestyle Changes to Prevent Acne
Lifestyle changes can also help prevent acne and rolling scars. Eat a diet high in omega-3 fatty acids and vitamins to improve your skin health, and avoid foods high in sugar, as they may trigger acne breakouts. Ensure that you get enough sleep, exercise regularly, and stay hydrated. Moreover, engage in stress-management activities, such as meditation and yoga, as stress can worsen acne.
Use SPF Daily
Prolonged exposure to UV light from the sun may worsen scarring, especially in individuals with darker skin. Use a broad-spectrum sunscreen every day before you start your day to protect your skin.
Address Rolling Scars with Personalised Treatment
Rolling scars can affect skin texture and confidence, but various treatments may help improve their appearance. At CuraMed Medical and Aesthetic Clinic, our doctors provide personalised treatment plans based on your skin condition and scar severity. Schedule a consultation with us today to explore suitable rolling scar treatment options.
FAQs About Rolling Scars Treatment in Singapore
When should I consult a doctor?
Consult your doctor as early as possible if you have persistent or severe rolling scars, as this may help prevent further scarring.
How many sessions are needed for rolling scar treatment?
The number of sessions varies by individual, depending on the severity of the scarring and the recommended treatment. For example, microneedling may requires 4 to 8 treatments spaced 4 to 6 weeks apart, while subcision may require 1 to 3 sessions.
Can I combine several rolling scar treatments?
In some cases, your doctor may recommend combining several treatments to improve rolling scars synergistically and achieve a more satisfactory result. Consult your doctor to understand the options suitable for your specific condition.
How much does rolling scar acne treatment cost in Singapore?
The price for rolling scar treatments in skin clinics that provide acne scar removal in Singapore may vary depending on the treatment advised by your doctor and the degree of scarring. Contact the clinic for more information regarding consultation and pricing.
Can rolling scars go away permanently?
While rolling scars cannot be completely removed, the goal is to help improve skin texture and reduce their visibility over time.
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Dr. Kan Hun Yee
Headed by our director and sole founder, Dr Kan, who is not just a certified family physician by the College of Family Physician, as she is also a certified Aesthetic Physician with the American Academy of Aesthetic Medicine.
She possess a number of qualifications which speaks to her knowledge:
- Medical Degree (University of Southampton, UK)
- Diploma in Family Medicine (National University of Singapore)
- Diploma in Dermatology (Cardiff, UK)
- Diploma in aesthetic medicine (American Academy of Aesthetic Medicine)
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