Deep scarring occurs when forceful inflammatory response towards the acne – possibly through medication – destroys the skin’s natural collagen. The skin over the area will then collapse following the loss of tissue underneath. The result is a soft, rather circular depression more popularly known as the “pock mark”. This is one of the most dreaded acne scarring forms known to man, as a pockmarked face was formerly deemed “incurable”. After all, discoloration and pigmentation after acne is removed can be cured by bleaching and other methods. On the other hand, how would anyone make a pockmarked face smooth again?
The answer lay in a different field of skin problems: wrinkles. Dermal fillers were formerly used mainly to improve the facial lines and wrinkles in cosmetic surgery. Fillers are injected into the skin and slowly work their way towards filling all the lines and wrinkles. “Plumping up” is how the process of using dermal fillers is described. Now, this process was introduced to the problem of deep acne scarring because of the similarity in principle. To correct depressed scars, the dermal filler is injected into the skin to fill up the area left by the lost tissue. Several fillers out in the market make use of animal (usually bovine) collagen. In some cases, fat transplantation (using the client’s own fat from another part of the body) is used to fill up the acne scar.