Treatment of acne scars must be individually tailored to address the specific findings. The patient has to understand that the scar revision process may require more that one surgical session. Punch excisions or elevations have to be performed 4-6 weeks before the peel, while subcision can be performed at the same session with the peel.
Before the peel prophylactic acyclovir, vala-cyclovir or famvir is given to patients with history of recurrent herpes simplex. Systemic antibiotics (minocycline) are important for patients with active acne.
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