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      Acne scar treatment program

      omnilux era estheticAll of us are born with soft, baby skin. However, in the course of life, it has to cope with variety of challenges … The sun, aging, and acne … leaving no one indifferent, reflecting both in the soul and on the face.

      “Scars adorn” – this saying fits neither women nor men nowadays. We do not seek to get scarred intentionally and, if we have them we hide them under assuring make-up mask. However, this is not an option. Especially, when natural looks, which is always trendy, is what we aim at.

      Our clinic provides complete acne scarring treatment program. You’ll have a possibility to choose a reliable combination of new generation laser and other procedures, that will allow reduce or completely eliminate scars caused by acne or various other surgical and burn scars.

      Short-term (6 months) and long-term (> 1 year) skincare programs, designed to smooth out the scars caused by acne and prevent formation of new ones, can be made.

      In each individual case, other treatment measures or methodologies suitable for of a particular skin type are discussed as well.


      Classification of acne scars

      1. “Ice pick”, atrophic scars1

      The most common are narrow, pointy, approximately 2 mm in diameter, deep scars that reach deep dermis. The scar is wider on the surface and narrows acquiring the V shape at the base. Usually, they are localized on cheeks; located in small groups and form small, deep, punctured holes. They look like holes in the ice, and this is where the name comes from. Since scarring of this type of acne is deep, it is difficult to smooth them out using regular surface-treatment procedures. Treatments affecting deep layers of skin are used.

      1. “Boxcar”, atrophic scars1:

      This type of acne scars is also common, especially in the zones of cheeks and temples. The scars are angular, with sharp edges, shaped in a wide “U” form, often circular or linear. They are called shallow when reach depth of 0,1-0,5 mm and are successfully treated by regular laser procedures meant for surface renewal. Similarly, this type of scarring can reach middle layers of the skin, or even deeper scarring reaching down to the hypodermis can form. In both of these two cases, a combination of methodologies involving laser and skin renewal procedures affecting upper, deep, or all layers of the skin is required.

      1. “Rolling”, atrophic scars1:

      In case when deeper skin layers are damaged, acne scars in shape of waves form – wide, 4-5 mm in diameter and shallow. Under them, the fibers of fibrous tissue are localized, which over time “pull” down the upper layers of the skin thus, forming the surface waves. In order to correct them, separation is often used during the treatment.

      1. Hypertrophic (raised) scars:

      Nodular, uneven, raised scars are often referred to as keloid scars. They are most likely to form in the chest, back, neck, cheeks and jaw areas. They form as a result of cystic or nodular acne because of hyper-production of collagen when the scar is raised above the surface of the skin and has a tendency to decrease in the long run. Drug injections are used; striking results are achieved by applying combined treatment methods.

      1. Post-inflammatory pigmentation, red or early acne scars.

      They are hard to conceal, and the redness makes both acne and scars more visible, even when the eruptions heal up. This is not real scarring – just post-inflammatory hyperpigmentation: pink spots, that tend to form when deeper skin layers are damaged, usually, in case of node cystic acne. Post-inflammatory hyperpigmentation occurs within 6-12 month period when acne eruptions heal and is the part of the inflammatory process. It remains for a longer period of time and, if untreated, eventually acquires whitish color and become scars.

      1 Atrophic scars – form after inflammation which results in tissue defect.

      The classification used determines the most effective treatment methods or their combinations applicable to different forms of scaring resulting from acne in order to achieve the best results. In each case it is individualized depending on the severity of damage starting from: the exfoliation of upper – middle layers of the skin; measures promoting remodeling of deep skin layers; renewal of all skin layers by fractional laser Fraxel Dual; instantaneous application of stabilized fillers; and, ending with skin resurfacing or surgical interventions.

      How do scars form?

      After-acne scars form due to the lesions caused by inflammatory process. The inflammation takes place in hair follicles because of colonization of Propionebacterium acnes. The body’s reaction is the faster produce of white blood cells and inflammatory molecules. Sometimes, after the eruptions heal up, the damaged tissue does not return to its original position. Depending on the nature of acne eruptions, its localization and the damaged area, post-inflammatory pigmentation emerges as well as various forms of scarring which can be permanent. In more severe cases, with a higher inflammation, when infection spreads to the deeper layers of skin, or due to individual susceptibility, this results in a lack of tissue, and, either concave scars or, because of dysfunctional response of the body, hypertrophic scars form.

      Preventive treatment of acne scars

      Acne is a chronic inflammatory skin disease from which, in one or another form, about 85% of young people population and up to 5% of adults suffer. Its long duration, apart from being exhausting, accompanies the most beautiful years of life. To accept the remaining scarring is also quite a difficult task as the scars seem to remain forever. However now, when therapeutic, aesthetic and laser dermatology is greatly advanced, by applying modern treatment measures, it is possible to say goodbye to acne without bearing any trace of it. The key is to diagnose and treat acne, to understand its emergence, progress, accompanying factors and start an appropriate acne treatment taking into account its various forms. Apart from this, it is necessary to pay attention to skin care, to take the early preventive measures in dealing with formation of new scars. It should be remembered, that, in scar prevention, it is important to avoid squeezing pimples or otherwise traumatizing them. If the skin is continuously traumatized, healing time of eruptions becomes longer; deeper skin lesions for; post- inflammatory pigmentation is more pronounced; likelihood of scarring increases; often, a secondary infection can develop, which only exacerbates the condition of the skin.

      How long does the treatment of acne scars take?

      From several months to a year – this is directly influenced by the form of scars, their manifestation and duration of the condition.

      Does special skin care is required after the treatment?

      It is recommended to avoid direct sunlight for at least 3 weeks before and after laser treatment, follow doctor’s instructions for post procedural skin treatment.

      After smoothing out acne scaring, the recovery of skin is permanent. All you have to do further is continue to nurture your skin and enjoy the results achieved, use regular daily skin care products or those prescribed by the doctor.

      What is the best time to start scarring treatment – when it formed quite a long time ago, or soon after its formation?

      Period up to 6 months 

      The earlier you start scaring prevention measures – the better the results.

      Scars that formed within 6 previous months are considered as recently formed. During this period, the mildest, natural measures and injections of biologically active substances, hyaluronic acid and plant extracts to the skin and hypodermis, as well as treatment procedures applying mesotherapy; biorevitalisation; a combination of alpha- and beta-hydroxy; TCA; and other procedures involving organic acids; peelings, promotion of collagen synthesis; Omnilux Revive 633 nm – red LED light therapy or other collagen treatments, facilitating healing of inflammatory acne cells and stimulating the production of new collagen; laser procedures. By combining skin treatments involving laser procedures, fruit and hyaluronic acid, and active substances, the damaged collagen in scar areas is restored. In addition, the skin is nourished with biologically active substances and vitamin cocktails. Daily care scheme for acne prone skin is made individually, by selecting active, ensuring stronger effect as well as preventive measures to stop the emergence of new eruptions.

      What is the treatment tactics for scaring that formed prior to 6 month-period?

      Depending on the form of scaring the following treatment measures are applied:

      • Strong exfoliants (resurfacers) – acids
      • Localized microsurgical interventions
      • Injections of stabilized fillers
      • Laser therapy. This is one of the most advanced procedures providing the most effective results in acne scaring treatment. The effect of laser enables stimulation of collagen synthesis in the skin, so the scar surface becomes smoother.

      For this purpose, ablative (removing the surface layers of the skin) and non-ablative (the skin surface is maintained and only deep skin layers are affected by the laser) lasers are used. The advantage of non-ablative lasers is that there are no healing scabs.

      Another category of laser – the fractional lasers, during operation of which the beam affects not entire surface of the skin, but only its micro fractions – the microscopic laser light columns, perpendicular to the surface of the skin, penetrate into the skin removing old cells and leaving intact healthy skin in surrounding areas. This allows reach highly effective results with security inherent to use of ablative lasers.

      In our clinic, depending on acne or form or scaring remaining after it, various combinations using different lasers are used:

      In case of active acne form, initially, the remission of a disease is achieved. In this case, Omnilux Medical system proves to be the most effective, when use of a combination of blue and red light therapy causes 89 percent decrease in acne eruptions during a period of 12 weeks.

      Omnilux medical blue and revive – for active acne

      omnilux blue lightOmnilux specific blue 415 nm and red 633 nm wavelength beams cause lasting remission of acne eruptions. Omnilux blue kills the bacterium P. acnes itself, which is involved in the formation of acne. Once bacterium is eliminated, inflammation process subsides.

      After destruction of the bacteria, Omnilux Revive red light used in the treatment provides anti-inflammatory effect andpromotes skin healing, sooths irritated skin. Thus, acne eruptions heal; new acne does not form; inflammation goes off; cellular processes come back to normal. The light emitted by Omnilux LED reduces sebum secretion as well as generation of inflammatory factors, which causes the amount of fat released by the sebaceous glands to return to normal level and the inflammation disappears. In addition, fibroblasts responsible for collagen production are stimulated, so there is an improvement in skin color and tone after the treatment.

      Omnilux Medical system combining blue and red, is the only scientifically proven system which causes long-term remission of acne eruptions.

      For more information about Omnilux medical and treatment of acne please read – Red light therapy.

      VBeam Perfecta – against acne and redness

      In case of acne, the pulsed dye vascular laser VBeam Perfecta reduces inflammation caused by acne bacteria and affecting small blood vessels, that from in inflammatory acne eruptions’ zones, coagulates them, which leads to their gradual absorption – the redness caused by acne scars is effectively removed and, at the same, new collagen synthesis is promoted and skin relief is smoothed out. As a result, redness, pink spots are gradually removed; acne eruptions disappear; scarring gets smoother.

      CO2RE laser – grinding of scars

      CO2RE laser vaporizes the upper layer of the skin at controlled levels of penetration and stimulates regeneration of new skin cells. Sometimes it is used in skin sanding or removing the zone collagen degeneration thus, stimulating the formation of new collagen fibers.

      Fraxel re:Store Dual 1550/1927 fractional skin renewal – fresh and old scars

      fraxel laserFraxel, the inventor of revolutionary skin rejuvenation that led to fractional skin renewal, quickly became No 1 technology providing the most effective treatment for smoothing out acne scars.

      The latest version of Fraxel lasers is Fraxel Dual that combines laser technologies of two wavelengths – 1550 nm and 1927 nm. This is a double performance laser providing double effect, rejuvenating the skin and removing all skin defects, when during one treatment the effect of the use of two lasers is achieved, and restructuring of all layers of the skin takes place: 1550 nm wavelength renews deep layers of the skin and, in addition, 1927 nm wavelength causes skin surface regeneration, removes pigmentation.

      During Fraxel Dual laser treatment procedure, not the entire skin surface is heated, but only its individual micro fractions. Microscopic laser columns renew MTZ (Micro Thermal Zones) of the skin, without damaging the surrounding tissue. Therefore, swifter skin healing and recovery is promoted, and post procedural period is minimal and skin-friendly. During the treatment, the old tissues are replaced by the skin of a completely new look – new healthy cells are generated; skin is youthful again and becomes smooth. The results currently achieved using the latest Fraxel Dual 1550/1927 nm technology can be compared to those, which, previously, were possible exceptionally by the use of very aggressive techniques.

      Fraxel Dual two-wavelength laser is efficient when dealing with both fresh and old acne-related skarring of all types – surgical, burn, atrophic, hypertrophic and other scars, stretch-marks and other skin defects. More information about treatment with Fraxel Dual laser can be found Fraxel re:store Dual.


      This article is an intellectual property of Era Esthetic laser dermatology clinic. It is not allowed to copy and/or distribute or use  the text and other information of this website in any way.
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      Asta Valentaitė, model
      Vilnius

      I do not have skin-related problems because I take care of my skin and protect it. If you do not neglect it, then you will not have problems. Sometimes, after long working days or sleepless nights, I feel that I want to pamper myself, so I go to the clinic to have Intraceuticals and HydraFacial procedures. The latter process cleans and moisturises the skin and during the first procedure various serums are used which saturate and moisturise the skin. These procedures are loved by…

      I do not have skin-related problems because I take care of my skin and protect it. If you do not neglect it, then you will not have problems. Sometimes, after long working days or sleepless nights, I feel that I want to pamper myself, so I go to the clinic to have Intraceuticals and HydraFacial procedures. The latter process cleans and moisturises the skin and during the first procedure various serums are used which saturate and moisturise the skin. These procedures are loved by Hollywood stars. The skin becomes smooth and clear and the results are visible immediately!

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      Viktorija Macijauskienė, jurist
      Vilnius

      I am not a frequent visitor of beauty and aesthetics clinics but I think carefully about where to go if the need arises.

      Their qualified professionals and very pleasant atmosphere is why I always go to Era Esthetic clinic when any problems arise in relation to my body or skin.

      Respectfully,

      Viktorija Macijauskienė

      gediminas-zilinskas
      Simona Burbaitė, model, Miss Universe participant, blogger
      Vilnius

      Our faces are our voiceless business cards. Moreover, every woman seeks a healthy and flawless look of her skin. I’m no exception. In addition, my work requires me to take special care of my face – quite frequent use of decorative cosmetic products requires proper care of the skin. So, in order to achieve the results I wanted, I chose the HydraFacial treatment at ERA ESTHETIC clinic. I think you will be curious to learn more about the process as well as the effects…

      Our faces are our voiceless business cards. Moreover, every woman seeks a healthy and flawless look of her skin. I’m no exception. In addition, my work requires me to take special care of my face – quite frequent use of decorative cosmetic products requires proper care of the skin. So, in order to achieve the results I wanted, I chose the HydraFacial treatment at ERA ESTHETIC clinic. I think you will be curious to learn more about the process as well as the effects that this treatment has. Basically, it is a patented non-invasive skin rejuvenation, deep cleansing and moisturising skin care done by modern aesthetic cosmetology technology – otherwise known as an ‘all-inclusive’ treatment. Today, Hydrafacial is included in the list of the most popular cosmetic treatments performed at prestigious medical clinics and spas all around the world. This procedure has three parts. Firstly, the skin is effectively cleansed; it gets exposed to a vacuum; it’s actively moisturised by different active serums. And all this is done simultaneously, which saves us time. Isn’t that great? The treatment was done by a great cosmetologist and beauty therapist, Alina Mockevičienė, and it lasted for about 45 minutes. You know, the face is quite a sensitive, I would even say intimate, part of our body, so it’s important to choose a specialist you trust; that way you can rest assured that you are in the hands of a professional. I would highly recommend Alina because in her chair I felt super safe and comfortable. I’ll tell you what kind of results I experienced after the first treatment: it restored the elasticity of my skin, as it had been looking rather tired lately. My skin was deep-cleansed. This means the reduced enlarged pores – and, believe me, with my job specifics I’m really not lacking them…The texture and tone of my skin have improved! Before the treatment, I had noticed that my face was somewhat greyish. Another good thing that will become even more important as time goes on is that this treatment slows down the ageing of the skin! And, although I am only 23 years old and the ageing process has not started yet (it usually starts at 25 years), preventive measures are always welcome and the sooner we start taking care of the skin, the more beneficial it will be for us. To tell the truth, if seeking maximum results this kind of treatment should be done once a month or as needed. I can confirm that the treatment did not cause any discomfort; in fact, it stimulated the skin in rather a pleasant way and was relaxing. As Alina would say, it is like being given a small kiss on your face by a kitten – somewhat scratchy, but at the same time very pleasant. I hope that the kitten will kiss you as well, leaving you glowing and even more beautiful!!!

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      Lina Businskaite1
      Lina Bušinskaitė, SPF Public Relations Manager
      Vilnius

      I discovered laser dermatology clinic Era Esthetic several years ago and since then I have been a regular customer. The service offered by the clinic – laser hair removal – became my salvation.
      The quality of services offered by this clinic is really great and the results are obvious. The fact that I visit this clinic less and less often proves that the services which I need have been provided professionally and responsibly, to a high standard. I am very grateful to doctors Rita Buivydaitė…

      I discovered laser dermatology clinic Era Esthetic several years ago and since then I have been a regular customer. The service offered by the clinic – laser hair removal – became my salvation.
      The quality of services offered by this clinic is really great and the results are obvious. The fact that I visit this clinic less and less often proves that the services which I need have been provided professionally and responsibly, to a high standard. I am very grateful to doctors Rita Buivydaitė and Ieva Laniauskaitė. They are professional in their fields, give a lot of valuable advice and perform their work sincerely.
      So I wish the clinic successful development and I am sure that it will keep on delighting its customers with excellent results.

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      Vaida Klizaitė-Jasaitienė, winner of beauty contests
      Vilnius

      I am very satisfied and would like to share my feelings about it with you. I found the clinic randomly while in search of a hair removal procedure using the most advanced laser technology. I discovered that Era Esthetic clinic is the only clinic in the Baltic states which uses the Alexandrito laser. This laser ensures very quick and effective results. I am very satisfied with the procedures and really recommend them to everybody. Over time and due to daily stress our skin loses…

      I am very satisfied and would like to share my feelings about it with you. I found the clinic randomly while in search of a hair removal procedure using the most advanced laser technology. I discovered that Era Esthetic clinic is the only clinic in the Baltic states which uses the Alexandrito laser. This laser ensures very quick and effective results. I am very satisfied with the procedures and really recommend them to everybody. Over time and due to daily stress our skin loses its moisture, brightness and firmness, so I had a consultation with doctor Jurgita Stoškienė, who is qualified to the highest level, and who examined the skin very pleasantly and offered especially effective procedures. The results were obvious after the first procedure. The procedure I often have is HydraFacial, performed by Viktorija and Alina, who are masters of the process. I trust in them and give myself completely into their hands. I understand that regardless of what you are searching for,it is always best to come here, as only here can you find everything in one place – the best specialists, and the latest innovative technologies and hardware. All this is proven over time by the results and excellent service you will experience after going through the doors of the amazing clinic Era Esthetic.

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