From the Guidelines
The most effective treatment for acne scarring in teenagers is the combination of fractional ablative laser therapy and platelet-rich plasma (PRP) treatment, as it improves acne scarring, patient satisfaction, and postprocedural symptoms, with shorter downtime and less pain. This treatment option has been shown to be effective in several studies, including a recent review of 7 studies on the use of PRP and laser therapy for acne scarring 1. The addition of PRP to ablative laser therapy aids in wound healing and promotes scar resolution, with increased levels of TGFb suggested as a mechanism for clinical improvement.
Some key benefits of this treatment option include:
- Improved acne scarring and patient satisfaction
- Reduced postprocedural symptoms, such as erythema and oedema
- Shorter downtime, with adverse effects lasting significantly less time in PRP-treated groups (p = 0.02) 1
- Less pain, particularly with topical application of PRP after laser treatment
Other treatment options for acne scarring in teenagers may include:
- Topical retinoids, such as tretinoin, to promote cell turnover and collagen production
- Chemical peels, using glycolic acid or salicylic acid, to improve texture and appearance
- Microdermabrasion, to physically exfoliate the skin and reduce shallow scars
- Microneedling, to stimulate collagen production through controlled skin injury
- Laser therapy, including fractional lasers and pulsed-dye lasers, to improve skin texture and appearance
It is essential to note that treatment should be delayed until active acne is controlled, and teenagers should use daily sunscreen (SPF 30+) during treatment to prevent hyperpigmentation. Most procedures have minimal downtime but may cause temporary redness or sensitivity. Treatment effectiveness varies based on scar type, skin type, and consistency with the recommended regimen.
From the FDA Drug Label
The FDA drug label does not answer the question.
From the Research
Treatment Options for Acne Scarring in Teenagers
The treatment of acne scarring in teenagers can be challenging, but various options are available. These include:
- Topical agents such as retinoids, tacrolimus, and glycolic acid, which can be used as individual therapy or in combination with other modalities 2
- Ablative lasers like Er:YAG, CO2, and microneedling, which can be used in combination with topical agents to improve acne scars 2
- Chemical peels, dermabrasion/microdermabrasion, laser treatment, punch techniques, dermal grafting, needling, and combined therapies for atrophic scars 3
- Silicone gels, intralesional steroid therapy, cryotherapy, and surgery for hypertrophic and keloidal lesions 3
Considerations for Treatment
When considering treatment options for acne scarring in teenagers, it is essential to take into account the type and severity of the acne, as well as the presence of scarring and psychosocial disability 4. Topical retinoids are particularly effective for non-inflamed lesions and can be used as a first-line treatment for mild to moderate acne 5. For more severe cases, oral antibacterials or isotretinoin may be necessary 4.
Laser Treatment for Acne Scars
Laser treatment is also a viable option for acne scarring, with various modalities available, including ablative and non-ablative lasers 6. The choice of laser treatment depends on the type and severity of the acne scars, as well as the patient's skin type and desired outcomes 6. Combination therapy, using lasers in conjunction with other energy-based devices or topicals, is also a emerging trend in the treatment of acne scars 6.