Rolling scars are the result of tissue damage beneath the skin, and have the appearance of a rolling hillside; hence the name. Because these scars are the result of tissue damage beneath the skin, resurfacing treatments like dermabrasion and lasers will not work, instead they are usually treated with subcision (explained in more detail in the next section). These are most commonly found on the cheeks and forehead.
In addition to reversing abnormal keratinization, there is evidence that the topical retinoids may have some anti-inflammatory properties. Both adapalene (Differin®) and tretinoin have been shown to do this in different experiments. Because Retin-A has been on the market for more than 25 years, patients will frequently come in and say, "I've already used tretinoin; it didn't work." For many physicians, their first inclination is to try something else. My favorite therapy is a topical retinoid used in conjunction with a combination of benzoyl peroxide and erythromycin.
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tags: can acne be treated during pregancy, acne care skin treatment, neutrogena acne peel
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