痤疮瘢痕种类与治疗一览

痤疮疤痕很顽固，没有任何一种治疗方法适用于所有人。多种方法都可能有助于改善肤质。 医生可能会向您推荐其中一种或多种方法联合治疗。有一些痤疮瘢痕是永久的，有一些会随着时间好转。痤疮疤痕有哪些？如何治疗？让我们一起看下去吧～
Acne scars are stubborn, and no single treatment is best for everyone. Various methods may help improve your complexion. Your doctor may suggest one or a combination of these. Some acne scars are permanent and some go away over time. How many types of acne scars are there? And how to treat them? Let's have a look at it together~

01

痤疮瘢痕的种类（Acne scars types）

                                        
痤疮红斑：痤疮红斑是痤疮皮损后留下的平坦的红色斑点，可持续数月后自行消褪。
Macules. These are flat, red spots where an acne lesion was once located. They can persist for a number of months and then fade on their own.

皮肤变色：有时愈合的痤疮疤痕会导致皮肤变色，这也称为炎症后色素沉着/色素减退。 痤疮病变愈合后，皮肤变色可持续数月至数年。
Skin  discoloration. Sometimes a healed acne scar leaves discolored skin, which is also called post-inflammatory hyper-pigmentation/depigmentation. Skin discoloration can remain visible for months after an acne lesion has healed.
 

                                                   
疤痕组织：某些类型的痤疮会留下肥厚增大、凸起生长的疤痕组织。 这些痤疮疤痕可能被称为瘢痕疙瘩或增生性疤痕，是由皮肤中过量的胶原蛋白引起的。
Tissue scars. Some types of acne can leave scars that appear as enlarged, raised growths of tissue. These acne scars may be called keloids or hypertrophic scars, and are caused by excess production of collagen in your skin.

组织损失：比凸起的疤痕组织更常见的是由组织损失引起的萎缩凹陷性疤痕。 这些痤疮疤痕可分为滚筒型、冰锥型和厢车型。它们往往看起来是凹陷的，像皮肤上的凹坑。

Loss of tissue. More common than raised tissue scars are the acne scars that are caused by a loss of tissue. These atrophic acne scars can be divided into 3 types：rolling scar, ice-pick scar and boxcar scar. They tend to appear sunken and look like pits in the skin.

02

痤疮瘢痕的治疗选择

家庭护肤：使用一些有美白功效的护肤品，配合防晒霜，可以改善均衡肤色。


Home skin care. The appearance of scars that change your skin color may be improved with over-the-counter bleaching agents and use of sunscreen to limit contrast.

激光焕肤：使用激光改善皮肤外观。

Laser resurfacing. This is a skin procedure that uses a laser to improve the appearance of your skin.

其他基于能量的治疗：脉冲光和超声射频可使疤痕不显眼，并且不会损伤皮肤表层。但见效慢，需要长期治疗维持疗效。

Other energy-based procedures. Pulsed light sources and radiofrequency devices help make scars less noticeable without damaging the outer layer of skin. Results are subtle and you may need to repeat the procedure.

化学剥脱：使用低浓度高价酸涂在的皮肤上，剥脱表层皮肤，并且可以改善更深的疤痕。
Chemical peeling. High-potency acid is applied to your skin to remove the top layer and minimize deeper scars.

三氯乙酸-皮肤疤痕化学重建术：使用高浓度三氯乙酸（70-100%）点涂痤疮凹陷性疤痕。可导致局部炎症反应，从而促进新胶原纤维生成。该方法可以改善痤疮凹陷性瘢痕，需要3-5个疗程，疗效明显，。

TCA corss. This is the chemical reconstruction of skin scars(CROSS) using trichloroacetic acid(TCA). It involves depositing small amounts of TCA at high concentration(70-100%) onto the surface of atrophic scar. This causes a local inflammatory reaction leading to formation of new collagen fibers. It can minimize deeper atrophic scars. The result is definite but may acquire 3-5 sessions to obtain.

针刺或滚针：将针刺装置在皮肤上滚动以刺激下面的组织。 见效慢，可能需要重复治疗。
Needling or rolling. This involves rolling a needle-studded device over the skin to stimulate underlying tissue. The result is subtle, and you may need to repeat the treatments.

磨皮：通常用于较严重瘢痕。 使用快速旋转的钢刷去除表层皮肤。

可以完全去除表面疤痕，更深的痤疮疤痕也可改善。
Dermabrasion. This procedure is usually reserved for more severe scarring. It involves removing the top layer of skin with a rapidly rotating wire brush. Surface scars may be completely removed, and deeper acne scars may appear less noticeable.

软组织填充：在皮肤或凹陷性疤痕下注射胶原蛋白或脂肪可以填充或拉伸皮肤。可使疤痕变得不明显。结果是暂时的，需要定期重复注射。


Soft tissue fillers. Injecting collagen or fat under the skin and into indented scars can fill out or stretch the skin. This makes the scars less noticeable. Results are temporary, so you would need to repeat the injections periodically.

手术：有的手术使用环切法，切除单个痤疮疤痕并用缝合或移植皮肤修复伤口。还有的手术使用皮下分离法，将针插入瘢痕下方，松弛瘢痕下方的纤维，以帮助改善外观。
Surgery. Using a minor procedure called punch excision, your doctor cuts out individual acne scars and repairs the wound with stitches or a skin graft. Another technique called subcision involves your doctor inserting needles under the skin to loosen fibers below a scar, to help improve its appearance.

肉毒素注射：有时痤疮瘢痕周围的皮肤会皱缩。通过注射肉毒素来放松这些部位有助于改善皮肤的外观。 需要定期重复注射。
Botox injections. Sometimes the skin around acne scars puckers. Relaxing the area with an injection of botulinum toxin (Botox) helps improve the skin's appearance. You'd need to repeat the injections periodically.

以上列出了一些最常见的痤疮瘢痕治疗方法，但仍有一些方法，尤其是增生性痤疮瘢痕的治疗方法没有全部列出来，但相关方法在之前的推送中提到过长痘痘后留下的鼓包，怎么办？；长痘痘后留下的鼓包，怎么办？(二)：痤疮后瘢痕疙瘩。请咨询皮肤科医生，制定适合自己的治疗方法，并且了解相关预后与不良反应哦～
We listed above some of the most popular treatment options for acne scar. There are some misses, especially treatment options for hypertrophic acne scars, which we have covered in previous articles. To determine what's best for you, discuss the prognosis and consequence of each procedure with your dermatologist.