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The Ultimate Guide to Understanding and Treating Acne Scars
Welcome to 'Skinside Out: Where Science Meets Beauty!' Join us as we peel away the mystery of the world of acne scars, a common yet often misunderstood skin issue affecting millions. This episode explores the different types of acne scars — atrophic, hypertrophic, and post-inflammatory hyperpigmentation. Learn about the most effective treatment options, including topical treatments like retinoids and vitamin C, and advanced in-office procedures such as microneedling, chemical peels, laser therapy, subcision, and fillers. Plus, we share personal stories and insights on the long-term journey of managing and improving acne scars. If you've ever struggled with the aftermath of acne, this episode is packed with essential information to help you on your path to clearer skin!
00:00 Introduction to Acne Scars
01:06 Understanding Acne Scars
02:21 Types of Acne Scars
06:30 Topical Treatments for Acne Scars
08:57 In-Office Procedures for Acne Scars
19:02 Personal Acne Journeys
24:39 Conclusion and Final Thoughts
Welcome to 'Skinside Out: Where Science Meets Beauty!' Join us as we peel away the mystery of the world of acne scars, a common yet often misunderstood skin issue affecting millions. This episode explores the different types of acne scars — atrophic, hypertrophic, and post-inflammatory hyperpigmentation. Learn about the most effective treatment options, including topical treatments like retinoids and vitamin C, and advanced in-office procedures such as microneedling, chemical peels, laser therapy, subcision, and fillers. Plus, we share personal stories and insights on the long-term journey of managing and improving acne scars. If you've ever struggled with the aftermath of acne, this episode is packed with essential information to help you on your path to clearer skin!
00:00 Introduction to Acne Scars
01:06 Understanding Acne Scars
02:21 Types of Acne Scars
06:30 Topical Treatments for Acne Scars
08:57 In-Office Procedures for Acne Scars
19:02 Personal Acne Journeys
24:39 Conclusion and Final Thoughts
Creators and Guests
Host
Host
What is Skinside Out?
Welcome to Skinside Out, where science meets beauty, the ultimate dermatology podcast! Dive deep into the fascinating world of skin health with expert insights, evidence-based discussions, and myth-busting truths. Each episode explores the medical, cosmetic, and surgical aspects of dermatology, while keeping you informed about trending skincare topics. Whether you’re a skincare enthusiast, medical professional, or just curious about how to achieve your best skin, Skinside Out is your go-to resource for staying informed and inspired.
16 Skinside Out
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Dr. Zain Husain, MD: Welcome to Skin Side Out Where Science Meets Beauty. I'm your host, Dr. Zane, with Heather and Courtney. So today we're gonna be talking about a topic that millions of people experience and struggle with acne scars. So if you've ever dealt with acne and the lingering effects with acne scarring, we're gonna talk about the different types of scarring, how we treat it, and how.
Things have advanced over the years and how, um, effective treatments can be.
Courtney Carroll, LE: Yep. So we'll talk about the different types of acne [00:01:00] scars because there are a few different types, and then we'll also talk about the best treatment options in regards to those specific types.
Dr. Zain Husain, MD: All right, so let's start off by talking about what acne scars are.
So acne scars literally are scars developed from the effects of inflammation on the skin from acne. So as we know, acne is an inflammatory skin disorder that's complex. It's got hormonal influences bacterial components. Um, there's a sebaceous gland that's overactive. So all of these lead to inflammation.
Um, in the pilo sebaceous unit, which is where the hair follicle the glands. Um, you know, meet the skin and that's the environment that acne is formed. Now, when there's intense inflammation, that can in, in itself lead to scarring if it's severe enough. However, also physical trauma like us picking at our pimples can lead to trauma and lead to scar tissue.
Heather Murray, PA-C: Yeah. And kind of going off of what happens when your body thinks that it's been [00:02:00] injured or like when you have an acne spot, um, your body is trying to produce more collagen to help kind of heal that area. And sometimes it can produce too little or too much, and then that can leave a scar too.
Um, but not all acne scars are the same. I think it's important to make sure you have an understanding of the type of acne scarring that you have because Treatments are different for each type.
Dr. Zain Husain, MD: Absolutely. So what are the types of acne scars? There are two broad categories, um, that I divide them into. One is atrophic scars, one is hypertrophic scars, and there's a third category, which are really not true scars at all.
They're called post-inflammatory hyperpigmentation or pigmentary changes. So let's dive into that a little bit.
Heather Murray, PA-C: Yeah. So, um, I'll talk about atrophic scars. That is the most common type of acne scarring. This is pretty much that classic indentation or, um depression of the skin from the scarring. So there's three types of atrophic scarring.
There's ice pick scars. Boxcar scars [00:03:00] and rolling scars. So ice pick scars are pretty much, if you could imagine like taking a little like, um, toothpick and just like
Joe Woolworth: mm-hmm.
Heather Murray, PA-C: Drilling it into your skin, it creates that little tiny little indentation that's an ice pick scar. , boxcar scars are pretty much like a U-shaped scar with pretty defined edges, but it's a little bit bigger than an ice pick scar.
And then the last one is rolling scars, which are pretty much have a wavy appearance to it. Um, and that can be due to the damage under the skin.
Courtney Carroll, LE: Unfortunately there are hypertrophic scars. So when we think hypertrophic, we think keloids, and that is again, that overproduction of collagen. Um, I think we tend to see a lot of keloid or hypertrophic scars on people who have chest and back acne, especially like around the shoulders and chest area.
It's really prone or sensitive, um, to getting that keloids, um, especially in our patients with. Skin of color. Yeah. Um, sometimes, unfortunately we do [00:04:00] see this on the face. Mm-hmm. Um, and it can be really, um, devastating for patients because it's more race. Sometimes they can be itchy, painful. So, um, you know, they can grow beyond that original acne site and kind of keep growing sometimes.
Is just really tough for the patient.
Dr. Zain Husain, MD: Yeah. And I like to touch on, those nons scarring types that a lot of people misdiagnosed as scarring. So post-inflammatory hyperpigmentation and post-inflammatory erythema, lemme break those down a little bit. So, post-inflammatory hyperpigmentation is very common with any type of inflammation in the skin, especially in skin of color.
So what happens when you have inflammation in the skin, like with acne, um, when the body is, you know, reducing the inflammation and it subsides, it can lead back. It can lead to a deposition of pigment or melanin in the skin, and that can take weeks to months, sometimes even longer to fade. So that is not true scarring, where that is below the surface [00:05:00] of the skin and you're forming like scar tissue.
This is not scar. This is pigment. And post, post-inflammatory erythema, um, is kind of that redness that you see, um, within, you know, areas of you know, resolving acne. And that is also not true scarring. There's no scar tissue that's forming, but there is redness from the blood vessels, um, that kind of form.
also often be commingled with the postlet. Inflammatory hyperpigmentation so the two can coexist.
Courtney Carroll, LE: Yeah. A lot of times for patients who maybe have, um, treated their acne and now just have that post-inflammatory hyperpigmentation or erythema, a lot of times I'll tell them to maybe do some chemical peels or things like that, which we'll get into, but before they actually think about treating the true acne scarring, because sometimes that redness or the pigment can almost create a shadowing effect on the face where it looks like there's scarring there, but there's actually not.
It's just that discoloration.
Dr. Zain Husain, MD: Yeah, so it's really important to understand the type of scarring we're dealing with because they may [00:06:00] dictate different treatment modalities, and oftentimes with more severe scarring, it requires more intensive therapy and multimodal treatment. So, you know, acne scarring is not a one size fit all.
We're doing a really thorough clinical assessment. Making sure that the acne is well controlled, and then we can kind of talk about the different options we have available, whether it being topical, whether it being a procedure whether it being a light-based or energy-based treatment. So it's really, really nuanced.
So let's talk about some of the topical treatments we often use as conservative first line therapy. So one of my favorite ingredients, um, as we have talked about in other episodes, retinoids. So these are topical, um, vitamin A derivatives that help with not only treating acne, it also helps with the hyperpigmentation from acne.
It also helps with scarring by producing, um, collagen that can help with some of those scars that we see.
Heather Murray, PA-C: Vitamin C is another topical that, [00:07:00] um, you may use. It's really not gonna change the scarring, but it's great for that post-inflammatory hyperpigmentation or post-inflammatory erythema or redness. Um, it's really just gonna focus on brightening the skin and fading that pigmentary change.
I.
Courtney Carroll, LE: We'll often use are alpha hydroxy acids or beta hydroxy acid. So those are gonna be your salicylic acid, your glycolic acid, lactic acid, things like that. , like Heather mentioned, these are not gonna be your first line treatment for treating scarring. I think all of the topicals in general, if you have pretty significant scarring, are more of adjunct treatments.
Mm-hmm. To help. Mm-hmm. Keep that skin primed for your in-office procedures. , but they will help, um, the hydroxy acids will help at least for the discoloration aspect and clearing up, um, some of that, you know, PIH or PIE the post-inflammatory like we were talking about.
Dr. Zain Husain, MD: And like I, as you mentioned, these are adjuncts and they will help enhance any of these in-office treatments mm-hmm.
Um, that we're doing because it's gonna help with stimulating collagen, um, and helping to normalize [00:08:00] those inflammatory skin changes that we see. And you know, obviously we'll have certain instructions for our patients like, about like when to discontinue certain treatments, prior to a procedure and when to reinitiate them, but it's kind of like a whole program.
Mm-hmm. Um, that helps us to optimize your results.
Courtney Carroll, LE: Yeah. I always feel like you have to have kind of that good foundation, that good base mm-hmm. Um, in order to complement those procedures. Because if you wanna maximize, I mean, you're spending money on these procedures, insurance doesn't cover any of this.
So if you wanna maximize your procedures and having the good at home skincare is gonna help do that. Yeah.
Dr. Zain Husain, MD: And sun protection is a must.
Courtney Carroll, LE: Yeah.
Dr. Zain Husain, MD: Um, when you have inflammation in the skin, like with inflammatory acne, and those post-inflammatory changes with pigment or erythema UV light. Is going to prolong that inflammation and may lead to worsening of the inflammation.
So if you don't protect yourself, , it's really going to be challenging to get optimal results.
Heather Murray, PA-C: , next we'll go into in-office [00:09:00] procedures. So I'll start with microneedling. Um, this has. So many great perks, but it is amazing for acne scarring, um, especially the atrophic scars. So like those ice pick scars, boxcar scars, and rolling scars.
It really stimulates collagen production over time to help smooth out that texture. Yeah,
Courtney Carroll, LE: chemical peels, um, are another procedure that we'll use. I, um, again, I don't think peels will be your first line treatment. However, um mm-hmm. There is a procedure, TCA cross that will utilize for some scarring. Um, the TCA cross is.
Basically a procedure where we use TCA trichloroacetic acid, and that typically is used for full face chemical peels at a lower percent, maybe a 10%, a 20 or a 30 depending on how much peeling you want. But, um, this basically stimulates collagen production. And for this TCA cross, we actually utilize it at a hundred percent, sometimes 90% or a hundred percent.
And we actually take, um, a [00:10:00] fine like toothpick type device, um, you know, to essentially. Put onto these spots. Now, you're not gonna treat your like rolling scars with these or your, um, your box car. It's mostly those ice pick because as Heather mentioned, it's gonna be almost like a toothpick, right? That created this like little indentation.
So what happens is it becomes really, um, frosted in this white discoloration pretty quickly, and then sometimes you can get a little bit of like, almost like a scab for about a week. The downtime's actually pretty mild, pretty easy. Um, it's. A really great procedure and that just helps to kind of remodel that skin, um, over the course of several sessions.
Dr. Zain Husain, MD: You have to be really careful. Oh yeah. I mean, it's a very high percentage of TCA if not applied precisely. Yep. It can worsen the scars. Mm-hmm. Um, if you apply to the wrong type of scar, like a box scar, scar, a rolling scar, it will make it wider. Yep. Um, so you have to be really careful, um, about treating patients and.
Commonly, um, you know, it's thought of like, you can't do it on skin of color. You can do it on skin of color, but you just have to be very safe and [00:11:00] precise about it.
Joe Woolworth: Mm-hmm.
Dr. Zain Husain, MD: Yep. So next type of treatment is one of my favorites, laser therapy. So lasers have really changed the game, um, in the past decades for treating really bad.
Acne scarring. Um, and you know, we have non-ablative as well as ablative lasers that can help. And many times we're employing them in a fractional way, meaning that we're kind of poking tiny little holes into the skin with a light, um, energy. And that will form a wound response, which helps to stimulate collagen synthesis, but also resurface the top layer of the skin as well.
Um. However, you know, based on how much destruction you're doing. Um, so the blade of lasers obviously have, um, more destruction. It's like ablating in the top. Layer of the epidermis, um, you will have more downtime. So you're looking at, you know, up to like two weeks of downtime with the fractional CO2 lasers, the Erbium lasers.
Um, but they get really like nice responses if you're [00:12:00] not really an appropriate candidate. Like if you have darker skin type, um, or if you really don't have that kind of downtime, you know, non-ablative fractional lasers can be very helpful. So we have both of those in my practice. , and we kind of just base.
The treatment options, , on skin type, um, what they're trying to accomplish and the ti type of downtime they can afford. Not everyone can take off two weeks from work, especially if you're not, um, you know, working from home. , it, it's difficult. So, you know, it's kind of an investment, but it does work really well.
Heather Murray, PA-C: I think that's a, that's the nice part about working in dermatology is because we can look kind of. Deformed dis crazy temporarily. But, um, we're, we're always doing something that we had a, um, an employee earlier that she would always mention, oh, I'm under construction. Don't worry about me. Um, but so I'll get into the next in-office procedure.
It's called Sub Precision. Um, so not a lot of places do this, so you definitely [00:13:00] wanna go to somebody who is. Trained and has that knowledge and technique to do this. So subs, cision is where we actually go underneath the skin to remove those, um, tethered areas. So it happens with these scars that creates this scar tissue that almost like anchors down within the skin.
So I like to kind of describe it or think about it like a boat that is anchored, um, in the ocean. So you have that anchor that is holding that. Boat or that scar down, it's pulling that down, not necessarily with the boat, you're, that boat is, so hopefully staying on the surface, but think about that anchor.
Um, you're pretty much going underneath the skin or under the water and removing that anchor. And so that is a more, um, invasive procedure. It's definitely. Um, a little bit more uncomfortable. So typically we put like a topical numbing cream on. We often will do nerve blocks where we're injecting the nerves within your skin to help, um, minimize [00:14:00] discomfort and, um, we see pretty good results with it.
Oh, I see
Dr. Zain Husain, MD: amazing results with it. Yeah, I think it's actually one of my favorite treatments, um, especially for atrophic scarring. Um, I almost pair it with all of my acne scar treatments as part of the treatment plan. Um, because if you, I. Don't release that scar tissue, it is still gonna be tethered down.
And once you kind of sub size through those, you know, tethered scar tissue, you release it. So it lifts up almost immediately. And I'm not, I'm often infiltrating it with PRP, platelet plasma or PRF, um, to get those growth factors too, in that area to help. Almost stimulate that wound response so that you can get that collagen production.
And it's a game changer because, you know, I've done, you know, lasers, um, RF microneedling alone in tandem, but I. Sometimes those really stubborn atrophic scars do not lift up enough. Mm-hmm. [00:15:00] And although you see improvement, you can definitely see more improvement once you combine it with sub cision. So I am a sub cision believer, but it's not without its own, you know, set of complications.
Right. So you have to be very comfortable with anatomy. Like we are literally taking at least an 18 gauge needle. Um, sometimes I use a NOCO needle, sometimes I use cannulas, but they're like really large. Um, so you need to know your facial anatomy. Blood vessels. Mm-hmm. Nerves. Um, you need to really help patients with the pain control 'cause not comfortable.
Mm-hmm. So, um, we use OX two in our office, um, which uses nitrous oxide, also known as laughing gas to help calm down patients. But, you know, I'm doing nerve blocks. I'm also doing like. You know, to miss an anesthesia, to really make the patient comfortable while I'm kind of really going in there and I'm going pretty aggressive.
Mm-hmm. But, um, you know, patients are obviously swollen. Sometimes they can get bruised, I warn them, um, ahead of time with the consultation about that. But, um, the healing's pretty remarkable and each time we do it, we usually do three sessions at least, [00:16:00] um, a month apart. It becomes easier and easier for me to kind of get through that scar tissue because a lot of it's been released.
Mm-hmm. And we see some really nice collagen synthesis and really nice outcomes. Patients have been floored by the results and many of the times they have come to me after going to other providers who have done the lasers, they've been at the medi spas, getting their RF Morphus complaining about how much it hurt, and they really don't see that much of a difference.
And then with even with one session with sub precision. Game changer. That is the magic sauce, I think.
Courtney Carroll, LE: Yeah, it is, and it's so fascinating to watch. I mean, just. Those ba you can, you can really, actually, you can hear it, see, hear and hear the bands. And I'm sure you can kind of feel as you're going. Oh yeah.
It's really fascinating. Just and I always joke like that's the day that you get your arm work workout. Mm-hmm. Because you know you're really going under, and some of them are really stubborn, so it is funny each time you see someone back and you're like, oh, this one was a lot easier than last. Time because a lot of those bands have now been released.
So it, it does get easier, [00:17:00] but
Dr. Zain Husain, MD: it's oddly satisfying hearing that band and feeling
Courtney Carroll, LE: Yeah. For you, not for the patient. Yeah.
Joe Woolworth: Like,
Courtney Carroll, LE: um, dermal fillers, we, we utilize, um, on occasion. I think the nice thing about dermal fillers, here's the pro and con, right? The pro is that you do see that instant kind of gratification where I think.
A lot of acne scarring treatments are, you know, I always say they're kind of under the skin, so it's, you're not gonna see this visual change like a chemical peel, right? Mm-hmm. Where you're seeing your skin slough off, it's gonna be more underneath the skin, all of that collagen production doing the work.
So sometimes it can take, you know, six to eight weeks to see kind of the effects of that first treatment. Yeah. Um, the dermal fillers are nice because yeah, you do get that immediate relief or that immediate response, but, um, they do only last for, you know, maybe a year, a year and a half. Maybe two years if you're lucky.
So, um, I think they have their place for some, but I think there are other more effective treatments.
Heather Murray, PA-C: I think the biggest thing is kind [00:18:00] of utilizing those biostimulatory fillers, like s Sculptra game changer. Yeah. To really create like a scaffold for collagen synthesis.
Dr. Zain Husain, MD: Yeah. I far. I like using that treatment modality way more than just your HA fillers.
Ha fillers are like nice for like, you know, small areas. Mm-hmm. Um, you know, instant gratification, but long term I feel that Sculptra and Radius, um, can do a lot for stimulating your collagen and longer lasting results. And it also improves skin quality.
Heather Murray, PA-C: Yeah.
Dr. Zain Husain, MD: So you got a lot of benefits. Lastly, um, in my office, many times patients come in with, you know, a big zit, right?
And of course it's their wedding next week, or, you know, proms around the corner. So we often inject intralesional. Kenalog usually dilute to help reduce that inflammation. I. Very quickly and safe, effective. So if you have a big event coming up and you got a big zoo on your face, just call your dermatologist.
Don't pop it please. Um, and Courtney's really good with also doing some spot treatments with, you know, [00:19:00] H-A-B-H-A, um, you know, topical treatments.
Joe Woolworth: Mm-hmm.
Dr. Zain Husain, MD: Obviously acne scars are a very emotional topic because these are scars that typically stay with you for the rest of your life. Many patients, even after their acne has cleared, um, they're not having any active breakouts anymore.
Their scars remain. And although, you know, acne scars, um, there's nothing wrong with them. A lot of people feel self-conscious about them. And even with my acne journey, um, I had pretty bad, um, you know, cystic acne when I was a teenager was hard to control. Um, and then, you know, eventually I went on Accutane.
Then I did Accutane, cleared up my acne, but what did I have left? Scars. So I really hated the scars. I was very self-conscious about them. I was in dermatology during residency, and then I'm looking at all my co-residents who have perfect skin. Everyone in dermatology seems to have perfect skin. And I had these scars and I felt bad [00:20:00] about it.
And, you know, I also were, I was treating patients, um, and learning about all the different, um, treatment options we had in medical surgical, cosmetic. It was during my residency where I got a lot of exposure to cosmetic dermatology under my mentor Dr. Tina Alster, who was a world renowned, um, laser, um, you know, expert.
I. You know, she actually treated my scars, um, when I was a resident and, you know, we did non-ablative fractional lasers. That's something commonly that she did in the office. Um, you know, the Fraxel essentially. And that helped. And then I also did, I. Microneedling, I did radio frequency microneedling.
I've obviously done tons of chemical peels, but still, you know, was struggling with some of the scars, although a lot better. Um, I still, um, felt like I wanted to do more. So, you know, I. Did some more like rf, microneedling, PP injections, excisions. And although my [00:21:00] skin's by no means perfect, it's a lot better than what it used to be.
Makes me feel better. Um, and I'm still on a journey. This is under construction,
Joe Woolworth: so, um, we all always are. And then whenever
Dr. Zain Husain, MD: I find a few minutes, um, from clinic, which is very hard, um, you know, I continue my treatments, but it, it is a journey and we have the treatments and the. Tools to really help you, you know, get those results you're looking for and really improve your skin health.
Courtney Carroll, LE: Yeah, and you know, um. I guess we all have been through our own acne journey here. Um, although Heather's face, you can't tell you have my old acne. Oh, she's like perfect. Yeah. And she's like, I had acne. I'm like, where? Um, yeah. But yeah, that being said, um, you know, you're not alone in that. I mean, if, if you providers have dealt with that, it just goes to show how common it is and.
Honestly, it's one of the reasons
Dr. Zain Husain, MD: why I went to dermatology. Yeah. It's
Courtney Carroll, LE: why I became an esthetician was, you know, acne and it's why Heather became a pa. [00:22:00]
Heather Murray, PA-C: I'm not just
Courtney Carroll, LE: bouncing off of you. Okay. She copied my acne. Um, um, but luckily there's so many different ways and I, I'm really excited also to see. How much more?
Mm-hmm. We'll learn about this, um, you know, scarring and what treatments, you know, we've talked a little bit about like growth factors and exosomes Yeah. And PDRN. So it'll be really interesting to see what else is kind of out there on the pipeline, um, as far as acne scarring treatments go. Yeah. And
Dr. Zain Husain, MD: we're already incorporating that in our treatment plans in our office, like, you know, mm-hmm.
Post procedure. Um, exosomes and PDRN and then also red light therapy post procedure. I mean, we're really trying to marry the science and technology with all the offerings that we have in a comprehensive approach. Mm-hmm.
Heather Murray, PA-C: Yeah. I think the key thing with acne scarring and treatment options is to really be patient.
And consistent with your treatments. This is not an overnight thing. I mean, the only exception with that would be like an HA filler, and that is not something [00:23:00] that's used for every single type of acne scarring. So everything else is gonna take time, be persistent, be patient with it. Um, you will notice improvement over time.
Dr. Zain Husain, MD: Yeah, and I will end with this. I know that a lot of teenagers struggle with acne. And parents are always hesitant about treatment. It is far better to treat it early, properly and not develop the scars than having to go back and treat it. It's a lot more expensive. Mm-hmm. It's not guaranteed. Mm-hmm.
Painful. Um, so we're big proponents in early treatments and having that plan in place so you don't develop these scars. Like, look at all three of us. We have all dealt with our acne struggles. And wouldn't it have been just so nice not to have to deal with it?
Courtney Carroll, LE: I know I was gonna do a little, you know, name drop on the Accutane because I do, you know, I was thinking about it earlier when we were talking about this episode and, um, both Dr.
Zane and I had been on Accutane and I think it really did save both of our skin. And, um, I [00:24:00] wish that, you know, I didn't get into it until I was actually working in dermatology. You do? When I was in high school. Yep. We have a very similar, when I was all through high school, I had really bad cystic acne and you know, God knows if.
My parents had, you know, know, even known about Accutane. A lot of derms. We'll have to do a whole episode. We just on, we'll, Accutane, because it's such a controversial subject, but for us it's a no brainer. I mean, just prevent the scarring. Um, a lot less heartache in the long run. Yeah. But, you know, yeah.
Dr. Zain Husain, MD: I really wish I had done it as a teenager, but you know, my parents, they were just scared. Mm-hmm. They hear about the side effects and all that. And with the proper counseling, monitoring
Courtney Carroll, LE: Yeah. It is a
Dr. Zain Husain, MD: safe medication. Yeah. And can really. Prevent a lot of heartache down the road. Yep. Yeah. All right. So acne scarring is pretty complex.
It's not as simple as people thinks. There are different types of scarring. Um, there's different ways that we can treat it, and it really requires a customized approach for a treatment plan. So you need a good team that can really properly diagnose and treat the situation, and it's gonna require time, it's gonna require probably multiple treatments, but we can [00:25:00] get you there.
So, you know, make sure that you know, when you're getting your acne scars treated, you know, make sure that you're seeing, um, you know, a dermatologist who can really look at, you know, your skin health and a team that can really provide you with the optimal treatment. Because let's face it, I mean, it's not cheap and it's expensive.
It's an investment, it's a journey in yourself and your self-confidence. So, um, we can be there as advocates to help you on your journey. Um, so, you know, I think that this was a really, um, you know, pertinent topic that a lot of people struggle with. It definitely hits home with all of us, and I do think that a lot of people are suffering with acne scarring, and I think that there really aren't any solutions there, but there are.
So just to make sure that, you know, you seek the care of a reputable expert so that we can help you on your journey. please like, subscribe and until next episode, skin side out out.
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