Dr.Shanthala Shivananjappa MD 194 Newbury St., Peabody, Boston, MA 01960
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Acne Scar Treatment

Acne can cause major stress in both young and adult individuals. Students often suffer from low self-esteem, and a lack of friends, which can impair their performance in school. The two main side effects of acne are scarring and post-inflammatory hyperpigmentation. There are several combination treatments for acne scars and PIH. These are based upon the type of scars, loss of underlying tissue due to the scars, atrophy of the area, tethering, the location of scars, skin color, and underlying medical condition. Forehead acne scars, Temple acne scars, and scars on the nose can be challenging. Dr. Shanthala offers a variety of combination acne scar remodeling procedures such as subcision, Microneedling, RF microneedling, Platelet Rich Plasma, Lasers such as CO2RE, FRAX PRO 1550, 1940,  exosomes, PDO threads, Biostimulators such as Radiesse, Sculptra, and Dermal fillers.

What are Acne Scars?

As a result of cystic acne, scars can develop. Acne is now thought to be a chronic inflammatory disease of the skin in which the sebaceous glands become blocked resulting in an accumulation of sebum (oil) and debris. The p. acne bacterium grows inside, causing infection and leading to scarring.

There are several types of acne scarring such as atrophic, hypertrophic, rolling, shallow, large pores, and hypopigmented scars.

Icepick (narrow)
Deep and narrow pitting of the skin.
Rolling (wide)
Soft shoulders and rounded saucer-like shape.
Boxcar (narrow to wide)
Sharp vertical edges with a wide base.


The subcision is a simple but very effective technique to release the scar tissue by using either a blunt tip cannula or a nokor needle performed only by our board-certified physician. Most patients may need several sessions of this procedure. Dr. Shanthala can further assess the degree and depth of scaring, based on the resistance and difficulty during the procedure. She injects local anesthetics to reduce the discomfort. She combines her subcision with RF microneedling or FraxPro 1555 laser, with PRP or Exosomes to obtain the best results. The side effects are bruising, discomfort, pain, and swelling. In our office, we combine subcision with PRP followed by RF micro needling.

2. Dermal Fillers for Acne Scars

HA fillers such as Juvederm, Restylane, and Belotero are used to treat acne scars on some occasions. Bellafill is an FDA-approved long-lasting filler In addition to immediately adding volume to the skin to lift acne scars, Bellafill® helps your skin re-create its own firmer structure for a smoother appearance and lasting results. Bellafill is good for rolling and atrophic types of acne scars. A skin test is needed and performed by our physician.


CO2RE  and FraxPro 1550 and 1940  is a fractional and are excellent for acne scars but may not be the BEST for all skin types. The CO2 laser may not be appropriate for deeper scars and it has a lot of limitations. Your skin is treated with a matrix of laser light points that vary in intensity, depending on your skin type and desired treatment results. The result is a treatment that is fast, more comfortable, and requires less downtime than traditional resurfacing – enabling you to get back to your daily routine much quicker. The CO2 laser is not meant for all skin types since it has a high risk for hyper or hypopigmentation in darker skin groups.


SkinPen medical micro-needling for Acne scar treatment is by creating invisible micro-perforations into the skin to induce neo- collagenasis.  This can be used for any type of acne scar, all skin types, but requires several treatments. The skin uses its natural repair mechanism producing collagen and elastin to repair the micro-perforations. Your skin becomes firmer and regains its elasticity. Acne scars require multiple sessions and combined treatment to see better results. Dr. Shanthala, often combines it with PRP or Exosomes and Subcision.


RF micro-needling for acne scars is very effective by stimulating new collagen and reduction of pore size. RF performed after subcision  has better results, combining RF micro-needling with PRPor Exosomes is shown to reduce the downtime and neocollagenesis.

RF Microneedling is our popular treatment for Acne Scars


A cutting-edge form of regenerative medicine using the body’s own plasma to restore collagen in the skin. Combining PRP with Micro-needling or injecting directly into the skin after Subcision is shown to improve acne scars. We combine PRP and HA fillers for forehead scars and deep atrophic scars. A combination of Sculptra and PRP or Radiesse with PRP is also used for acne scars. Our latest treatment includes topical exosomes.

7. TCA cross Chemical Peels

TCA cross-hatch technique peels chemically exfoliates the top layer of skin.  TCA peels have to used carefully for darker skin types, require multiple sessions may be accompanied by prolonged erythema and downtime. This exfoliation signals the cells inside the skin to produce more rapidly, which can help skin turnover faster and prevent pores from clogging and stimulates collagen performed by our physician.

8. PDO THREADS for Acne Scars

Dr. Shanthala combines several different procedures along with PDO smooth threads for acne scar treatments. PDO threads are absorbable sutures and stimulate the collagen production, offers subcision while inserting the threads.

9. Biostimulators such as Sculptra and Radiesse

Combination of lasers such as CO2 laser or Microneedling with Sculptra is also used by our physician based on the distribution and the type of acne scaring.

Acne scars can be devastating to many young and older people, it is very difficult to treat acne scars, multiple sessions and combination treatments are shown to improve scars. Dr. Shanthala uses her unique combination treatment approach to help improve your acne scars.

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