All You Need to Know About the Best Acne Scar Treatment Options in Delhi

With pollution in the city bordering close to hazardous levels, Delhi residents must be cautious regarding their health, especially the condition of their skin. Cases of acne, eczema, and other skin problems are increasing rapidly from exposure to airborne pollutants like particulate matter, Sulphur dioxide, and Nitrogen dioxide. You might find some consolation in the knowledge that most acne is temporary, but the truth is, the effects of acne aren’t limited to just the skin. According to a study released in the British Journal of Dermatology, acne patients are 60 percent more likely to succumb to depressive disorders compared to the general population. And this applies to most of the youth in Delhi, given their obsession with their looks. In fact, a survey conducted by India Today magazine on nearly 500 college students in the capital found that 64 percent were conscious about some aspect of their appearance while 80 percent considered their face to be the key feature of their appearance. So, the scars left by touching, poking and eventually popping the acne on your face often lead to deeper psychological and mental issues.

Several myths surround acne, the most misleading being that it gets worse before getting better. Acne scars are frustrating, to say the least. They form when a breakout penetrates your skin deeply and damages the tissues underneath. In reality, it’s easy to avoid acne scarring with the proper protocol. Every type of acne scar responds differently to treatment, and some are better suited to a specific type than others. If you’re tired of people staring at or commenting on your facial marks, it’s best to consult a good dermatologist in Delhi for a safe and effective solution. The doctor will examine the scars and recommend more than one treatment for best results.
These are the topics covered in the article:

What are the Best Laser Acne Scar Removal Treatments Available in Delhi?

Using lasers on acne scars improves the condition drastically by 80 to 90 percent. However, there are various laser treatments available in Delhi and not all of them offer the same effects. Fraxel, for example, is believed to be the gold standard for acne scar treatment; however, in rare cases, patients may experience side effects after a while, ranging from bronzing to bad bouts of acne. On the other hand, lasers like Erase eradicate any bacteria inside the acne, cutting down on oil secretion and improving the appearance of the scar considerably without downtime. During the consultation, a dermatologist offers the best option for removing acne scars depending on your skin and body needs, the texture and tone of your skin.

Fractional, non-ablative lasers are fairly new technology with less downtime than the older models. This allows the skin surgeon to be more aggressive and achieve the expected results in fewer sessions. The older ablative lasers evaporated the top layers of the skin, making it difficult to heal fast. Plus, there had to be an interval of one week between treatments. Although some improvements were visible immediately, patients had to wait some months to see actual results and the effects varied from one person to the other. However, the new technologies like Fraxel pass through the upper layers of the skin easily and heat deeper tissues, thereby stimulating collagen and smoothening the appearance of the scars with minimum downtime.

  • Erase:

    Combining the restorative properties of the Erase laser with Pixel Perfect, CO2, and other ablative lasers offers great results. To heal gentler, rolling scars, the PicoSure is a good option. The Erase laser also tightens and rejuvenates the skin, making it the ideal laser treatment for acne scar patients interested in anti-ageing as well.

  • Laser Genesis:

    This is a non-ablative, non-invasive laser therapy that heals the texture and tone of your skin. Laser Genesis is basically the next stage in photo facials, leaving your face feeling taut, toned, and invigorated. The procedure comprises of high-powered microsecond pulses administered at extreme repetition rates for treating every kind of open pore, scar, and stimulating collagen. If that’s not all, it also restores the elasticity of the patient’s skin. Laser Genesis is compatible with all skin types and normally involves four to five sessions.

  • CO2 laser treatment (Laser Smart Xide2) in Delhi and cost:

    Manufactured by Déka, this miracle device emits the Smart Pulse of Carbon Dioxide laser to greatly reduce deeper acne scars along with rough patches, wrinkles, and skin lines. The fast, high intensity beam completely vaporizes the targeted cells and treats imperfections in each layer of skin with precision. Not only is the process devoid of any bleeding, but it leaves you with firmer skin and a more natural-looking, even-coloured complexion. This laser treatment works wonders on scars and deep lines along with more superficial lesions. Compared to other skin resurfacing procedures, the effects of Laser Smart Xide2 last longer.

    Being sourced from Italy, this equipment commands a higher cost. Expect the pocket pinch to vary between Rs. 600 and Rs. 800 for each pulse shot of the CO2 laser. Delhiites suffering from massive skin scarring are the greatest beneficiaries of this procedure.

  • Frazer/Fraxel:

    This laser treatment targets the deeper layers of the skin and involves beams that create small wounds and trigger the natural healing process of the body. By promoting the growth of elastin and collagen – the skin’s natural building blocks – and replacing damaged tissues, this process smoothens and refreshes your skin so it seems more youthful.

One of the biggest reasons why most dermatologists in Delhi recommend light Frazer or Fraxel treatments is zero downtime. Unlike the previously mentioned Smart Xide2, this laser procedure does not put you out of commission. Sure, your skin appears a little red post treatment and takes on a flaky and dry texture for a few days, but that can easily be masked using makeup products. However, a deeper treatment may require you to take a couple of days off work.

Fraxel smoothens, tightens, and clears your skin while reducing pore size and improving the overall texture and scarring. It also removes acne scars, under eye dark circles, stretch marks, uneven skin tone, and puffiness. The procedure is best used for treating undulated, strophic scarring and box scars. Opting for this laser treatment will set you back by Rs. 250 to Rs. 300 for each shot, and you’ll probably require three sessions of Fraxel or Frazer for optimum results.

  • Tixel: This is a new, non-laser fractional skin resurfacing treatment based on thermomechanical ablation technology that causes micro injuries to the skin. These boost the production of elastin and collagen in the body for supple, healthy skin. Tixel is usable throughout the face, including the sensitive areas around the neck and eyes. While conventional lasers are light-based, Tixel is heat-based and transfers heat directly to the skin with patented titanium tips.
    Many dermatologists recommend Tixel since it provides comfortable and non-invasive treatment. The results are comparable to CO2 lasers but the downtime is considerably less. Moreover, Tixel inflicts a lot less damage to the internal layers compared to lasers and the micropores of this technology are free of any necrotic tissue unlike the normal micropores in fractional CO2 lasers.

Tixel has no side-effects on the eyes and the procedure is performed without any additional eye protection. The patients experience a warm sensitive in the target region like a sunburn, which settles down within an hour of the treatment. The treatment tip at the contact point is just 20 microns, making any redness or downtime post treatment last less than 48 hours. Aside from that, the colour of the post-treatment marks is extremely light and easily coverable with tinted makeup or sunscreen. What this means is, patients are able to resume their daily work life the following day. Normally, Delhi residents prefer to get this treatment done on the weekends.

In Delhi, skin specialists treat localized facial areas in the office after applying local anaesthetic cream. For treating the whole face, a certified laser center run by a trained and qualified dermatologist is your best bet. Once you finish the procedure, your skin requires seven to ten days for healing. Use makeup temporarily to cover any redness and it will gradually fade over the course of a few months.

Your dermatologist may dissuade you from taking laser treatments for acne scars if you’re on blood-thinning medication. Also, people who suffer from active acne and skin sores, or have darker skin should avoid lasers altogether.

How Effective is Subcision for Acne Scars?

Subcision is performed by a dermatological surgeon to separate the outer skin from the deeper subcutaneous layer. This breaks the fibrous tissues bands present in the scars that hold down the skin. The treatment is a safe and easy way to remove depressed acne scars, specifically the atrophic, rolling, and box variety. Try combining the procedure with other treatments like dermaroller, scar revision, and laser for greater efficiency.

Local anaesthesia is administered before performing the surgery. The surgeon inserts a fine needle next to the scar deep into the dermis and moves it back and forth in a fan-like motion to free the fibrous bands at the deep dermal subcutaneous plane. The fibrous bands emit a snapping sound when broken. This is one of the most effective procedures for acne scar treatment in Delhi, and if done well improves all types of scars by 50 percent. Please note, however, that the treatment does not yield good results on ice pick scars.

Patients may experience a little bleeding during the treatment, but icing can easily bring it under control. Any bruising that occurs underneath the skin typically fades inside a week. As far as procedural costs are concerned, you may be charged anywhere between Rs. 500 to Rs. 10,000 for one session. It all comes down to the expertise of the doctor, the needle being used, and the number of scars being treated.

What are the Best Peels for Acne Scarring in Delhi?

The first thing you need to know is no acne scar treatment peel works in isolation. A combination of salicylic and Jessner peels, LED, and lasers are recommended for the best results. Your foremost concern should be whether the results of the procedure are lasting or not. In most cases, you don’t need to worry about remission. But if protein content is sorely lacking in your diet and your body fails to get sufficient nutrition, the scars may sink back.

  • Chemical Peels: Commonly known as alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs), chemical peels are applied directly to the skin, particularly the face, hands, and neck. This helps exfoliate the area and prevents the pores from clogging and breaking out. After some time, your skin appears younger, brighter, and smoother, which imparts the healthy glow you always wanted. Patients dealing with bulges, wrinkles, and skin sags should not opt for this treatment.

Chemical peels can usually be grouped into three categories:

  • Deep Peel: Deep peels use phenol and are commonly used for treating acne scars since they penetrate the deeper layers of the skin. You need up to three weeks to fully heal.
  • Medium Peel: This peel contains glycolic acid that works wonders for anti-ageing and discolouration.
  • Superficial Peel: The effects of this peel are milder and improve pigmentation occurring due to minor scars. Antiviral medication might be required to avoid any illnesses.

Chemical peels are extremely popular skin treatments, which explains their wide availability in Delhi. But if you want your acne scars gone, you should get the treatment from a qualified, experienced dermatologist.

  • TCA Cross: TCA Cross is the dermatologist’s first choice for removing acne scars. A long term staple in skin care, the procedure is extremely useful and safe when performed as a mid-dermal depth peel or general peel in acne scars. The scars are chemically reconstructed using Trichloroacetic Acid and the strength varies depending on the severity of your condition. Normally, patients need more than six sessions to see positive results.

The dermatologist begins by applying a high percentage of TCA (a minimum of 65 percent and a maximum of 99 percent) to just the pitted acne scar tissue. The end of a toothpick is dunked into the TCA solution and poked into the pits. The toothpick is not removed from the pit of the acne scar until its turns white or frosts over. This normally takes close to 10 seconds and the treated area is coated with Vaseline or Neosporin immediately afterward. Soon, scabs form and start dropping off. Ideally, the patient should cover the areas with antibiotic cream or petroleum jelly during this time, and avoid contact with water. The scabs fall off by themselves in a couple of days.

You must repeat the TCA Cross method every few months for collagen production and dermal thickening to occur naturally within the acne scars. Within a span of three to nine months, you’ll notice a marked improvement in the appearance of the scars.

The best part is, TCA Cross is extremely potent in ridding your skin of ice pick acne scars. These scars resemble deep holes in your skin that seem as if they’ve been punctured with an ice pick. Depressed scars like these form when your body produces smaller quantities of collagen than necessary in response to an injury.

If you’re wondering how much this procedure costs in Delhi, it all comes down to the agents used as well as the expertise of the dermatologist. Normally, the price of treating each scar ranges between Rs. 250 and Rs. 350 a session.

Less Invasive Permanent Acne Treatments in Delhi

Delhi residents struggling to remove acne scars may select one of the less invasive treatment options like microdermabrasion and micro-needling. However, the number of sessions is considerably greater, varying between a minimum of 10 to 20 sessions for micro-needling to 15 sessions for derma-rollers to 30 sessions for microdermabrasion. These treatments deliver on their promise of acne scar reduction but leave your skin feeling less than smooth.

  • Are Micro-Needling Sessions Effective for Treating Acne Scars?

Micro-needling therapy helps treat various skin problems. The procedure involves breaking down old, problematic skin tissues and generating new skin tissues. Apart from that, the procedure even boosts blood supply to the skin. Micro-needling has several benefits, primary among them being acne, burn, or surgical scar removal. It is most effective against mild to moderate acne scars. Micro-needling also visibly reduces stretch marks and fine lines from the skin. Once you complete the procedure, your skin no longer appears to sag. The therapy is quite fast and allows the patient to resume a normal lifestyle within some days.

Micro-needling should be performed under expert supervision at the clinic to avoid side-effects. Normally, an electric skin needling device is used, which resembles a pen studded with 12 fine needles.

  • Do Doctors Use Derma-Rollers for Acne Scars?

The derma-roller is a handheld device comprising of hundreds of tiny fine needles attached to the tip of a roller. This technique is used to induce collagen stimulation or remodel for the skin, reducing acne, scars, pore size, stretch marks, sun damage and sunburn, and facial wrinkles.

The derma-roller is carefully rolled over your skin to create small punctures and induce the body’s natural healing powers. The process adds elasticity and suppleness to your skin.

Patients are required to sign a consent form before the procedure. A topical anaesthesia is applied beforehand and there may some mild swelling and redness may be visible once it is completed. Depending on the intensity of the treatment, patients make a complete recovery between 24 hours to seven days. The swelling usually subsides within a day while the redness lasts for up to two days. Results are visible within four to six weeks, but this varies from person to person.

After finishing the treatment, make sure you apply aloe gel to soothe and calm your skin. Do not touch your face if your hands are dirty. Avoid hot showers and sauna baths until the redness has dissipated. Also, it’s a good idea to avoid direct sunlight and harsh skincare items.

  • Does Microdermabrasion Help with Acne Scars?

When other modes of treatment fail to yield desirable results on your acne scars, it’s time to consider microdermabrasion, the professional skin procedure that promises smoother, clearer, radiant skin quickly. The expert procedure exfoliates the skin – normally the face – thoroughly by spraying tiny crystals and removing dead skin cells from the surface. A variable flow of vacuum suction helps maintain contact with your skin as the crystals smoothen and buff the skin’s surface. Results usually depend on the grade of the crystals chosen by the skincare expert and the percentage of vacuum suction. Please note that the process fails to cure congenital skin defects, such as burn marks, birthmarks, and most moles.

Different kinds of microdermabrasion treatments exist, from crystals to diamond tips, but availability hinges on the clinic in Delhi you choose for the treatment as well as their equipment. Microdermabrasion leads in the non-surgical skin resurfacing treatment category with its power to eliminate post-acne marks, excessive oil, clogged pores, uneven pigmentation, enlarged pores, and dry skin. Apart from that, the process also boosts elastin and collagen production for better absorption of skincare products.

The affected area needs to be anaesthetized and the top layer of facial skin exfoliated with a high-speed brush. This removes or reduces the depth of your acne scars. Each session ranges between 20 and 40 minutes and your skin can handle up to one each month.

Once you’ve completed your sessions, make it a point to clean your skin regularly and apply the prescribed moisturiser or ointment. Healing takes seven to 14 days and you must avoid sunlight directly for seven days or apply 30 SPF or higher sunscreen. Women can wear a wide-brimmed hat to safeguard their new skin from the harsh sun. After treatment, you should avoid makeup for at least 24 hours.

Side-effects of the process include peeling, scarring, discolouration, and scarring. Infections and blistering are common if you don’t follow the recommended post-treatment guidelines. Delhi residents with darker skin, however, should err on the side of caution by picking a different treatment as pigmentation might occur, marring their chances of a flawless complexion. This happens because such aesthetic procedures induce post-inflammatory hyper pigmentation and discolour after injury or inflammation. Also, patients with lupus, eczema, rosacea or open wounds should avoid microdermabrasion. The process stimulates blood flow to the face, which leads to skin irritation and other problems.

Alternative Ice Pick Scar Treatment in Delhi

Treatment for post acne ice pick scars include excising the scar with a small instrument – known as the punch and suturing method – and closing the defect. However, this treatment works only for isolated ice pick scars. For multiple ice pick scars, acne scar treatment devices with radiofrequency energy are the right choice. These treatments build up the collagen in your skin from the inside out and help fill the scars from within.

Role of PRP in Acne Scar Removal

Platelet rich plasma treatments have started gaining traction among the wealthier residents of the city by virtue of their radiance imparting and skin tightening properties. And while many swear by their healing effects on acne scars, there are more reliable treatment options available in Delhi. The truth is, PRP is something of a hit and miss – the treatment improves only some scars and even then, breakouts may show up as a reaction.

PRP is a multi-layered procedure since the rolling scars are administered microfat injections and then microneedled with platelet-rich plasma. Micro-needling also opens up the channels inside your skin that provide PRP and skin care items direct access to the deeper layers of your skin where they are most required. PRP is formed by taking some of the patient’s blood, isolating platelet-rich plasma containing growth factors like proteins, and then injecting the substance back into your scar. The procedure builds up the collagen layer beneath the depression until it is raised to the level of the surrounding skin.  Multiple sessions are necessary and it is best to speak to your dermatologist before choosing this treatment.

Injections for Acne Scar Removal

Acne scars present above the skin are treatable with the help of steroid injections. These help reduce the size of the scar and make them less noticeable. For deeper scars, collagen or dermal fillers are recommended since they fill the area.

List of Doctors for Acne Scarring Treatment in Delhi

  1. Jyoti Sharma

Armed with an MBBS degree from Lady Hardinge Medical College, New Delhi, Dr. Jyoti Sharma is one of the most famous skin specialists in the West Delhi area. A Dermatosurgeon and Cosmetologist, she has previously worked as a Senior Resident Dermatologist in AIIMS for three years. Aside from scar treatment, Dr. Sharma is also experienced in hair transplant surgery, laser hair removal from the face, anti-ageing treatments, and wart removal. Visit the Vardaan Clinic near Sovereign Public School for appointment and cost information.

  1. Sunil Sehgal

The head of a Dermatology Clinic in Rohini, North West Delhi, Dr. Sunil Sehgal is one of the best skin specialists in the area. His clinic, Dr. Sehgal’s Skin Clinic, provides a wide range of services, from allergy to laser hair removal, chemical peels to botox, cosmetology and acne treatment.

  1. Hina Kukreja

Located in Rajouri Garden, the Zsurie Skin Clinic boasts an impressive lineup of several experienced dermatologists. Dr. Hina Kukreja is the most recognizable name among them, having dealt with many cases over the years. The treatments on offer include acne treatments, skin lightening, skin allergy treatment, hair loss treatment, laser hair removal, scar removal, and skin upliftment.

  1. Rajat Kandhari

He is the Consultant Dermatologist at Dr. Kandhari’s Skin & Dental Clinic, and specializes in Aesthetic Treatments. After topping his university and completed his MD, this gold medalist was associated with Safdarjung Hospital in New Delhi for three long years. He visited Singapore to train in facial aesthetic treatments under Dr. Wu, the globally recognized plastic surgeon. He is well-versed in treating pigmentation, acne, and scars.

  1. Namrata Ghai

Dr. Ghai is available at the SunShine Skin & Hair Clinic and is extremely knowledgeable about skin conditions. She treats acne scars so patients can face the world with renewed confidence. Her clinic employs innovative techniques to improve the appearance of your acne scars. The moment you visit the clinic for a consultation, the doctor plans a special skin care improvement plan for you. Dr. Namrata uses salicylic peels to minimize oiliness and unclog the pores, leading to radiant glowing, smooth skin. She also disinfects the skin to prevent further breakouts.

Most of the patients visiting the clinic are prescribed creams and gels for applying on the skin, and they normally respond without oral medication. In several cases, the oral medication is prescribed by Dr. Ghai only when necessary. Unlike other places, you will not be misled by the doctor to undergo laser treatments and peels, treating them more as an optional mode of treatment to solve your acne scar problem.

  1. Deepali Bharadwaj

Dr. Bharadwaj is the proprietor of the Skin & Hair Clinic in New Delhi. She has decades of experience in the field and was associated with the Department of Dermatology in the Safdarjung Hospital and AIIMS. Dr. Bharadwaj’s impressive portfolio also connects her to the Rockland Group of Hospitals, Kaya Skin Clinic, Apollo Clinic, and Asian Roots. Dr. Deepali is a prominent figure on national television, and is part of the YWCA Forum on skin awareness. The doctor has attended different training workshops across the globe, from a Master Class in Asian Beauty at Hong Kong to a workshop on Beauty Aesthetics in Florence, Italy. Dr. Bharadwaj is a member of the European Society for Cosmetics and Aesthetics Dermatology (ESCAD) and the International Society of Dermatology (ISD) among others.

Concluding Remarks

With your face being exposed regularly to the outside environment, scars on your face left behind by acne take a long time to heal. Thankfully, advancements in science and medicine have provided Delhiites with lots of options when it comes to treating facial scars.