'Acne is a skin disease, commonly called "zits" or "pimples", characterized by inflammation of the hair follicle and the connected sebaceous gland . The lesions start  from  the so-called blackhead (white dot) and evolve towards the formation of papules and pustules. The most common is acne vulgaris (acne vulgaris) what is commonly simply called acne. The maximum onset of these events is in adolescence and the parts most affected are the face and shoulders. The causes that underlie acne are varied (puberty, menstrual cycle, pregnancy, hormonal changes or receptorial), which, however, all lead to alterations of keratinization in the hair follicle resulting in obstruction of the same, fat accumulation and subsequent formation of blackhead. Within the follicle closed there are fats, keratin, melanin, hairs and bacteria, including the so-called Propionibacterium acnes that, finding a suitable habitat is multiplied, and leads to the formation of "Pustule"  so as to damage the tissue over time

The Therapy to be used varies depending on the severity, and try to keep under control the phase acne active, reducing the inflammatory process and hence the formation of pustules, means not only giving an immediate aesthetic improvement but especially prevent the formation of scarring  more  or less deep .

The pustule is an inflammatory process in progress with the consequent tissue destruction in the follicular and surrounding area. According to the intensity are basically two local complications at the end of the process:

1) post inflammatory pigmentation.
2) scarring more or less penetrating into the tissue appearance

The terapie are essentially based on three concepts :
- induce a more possible deep and controlled exfoliation to smooth the scars and remove the stains.
- stimulate the dermis to regenerate the tissue from the depth
- Fill the depressions when they allow to be distended

The association between a therapeutic soft peeling smoothing action and depigmentation as a preparation for a fractionated CO2 laser certainly leads to excellent results. Clearly, depending on the case the treatment must be repeated for at least 3 sessions per twice monthly or even more depending on the sensitivity of the skin
At the end of this treatment can be useful on the depressions that allow to be distended ,to  perform a detachment  with a needle and a filling with filler based on hyaluronic acid

The results are very encouraging and satisfactory for the patient. You get a total elimination of stains, which generally are superficial, and a smoothing of the scars less deep  called  “ Bowl “.

A little we can however against the signs of scarring more penetrating like a crater that reach the deep dermis.