SpringhouseDerm Integrated Cosmetic & Medical Dermatology

5 New Ways to Treat New and Old Acne Scars

5 NEW WAYS TO TREAT NEW AND OLD ACNE SCARS - Woman's face before and after treatment

Millions of people suffer from acne. It can start as a young teen or as an adult. Whether your breakouts respond to home treatments or you see a dermatologist regularly one of the most feared complications is acne scarring. This can range from one “pock mark” to an entire face. The strange thing is that no one can predict who will develop a scar and who will clear with no lasting skin damage. Sometimes patients with only a few acne break outs with scar with each one, and some people can have extensive acne and heal without a problem. In recent years the options for treating acne scars have expanded with new and exciting technology that can treat even old scars with minimal downtime.

While there are many different type of acne scars, all of the treatments seek to normalize that collagen deep in the skin and produce a smoother surface. The less invasive the procedure, the more times it must be performed with the trade off of minimial “down time”- or time away from work or social activities. Here are 5 new ways that dermatologists can improve even older scars:

  1. Intense Pulsed Light or Vascular Lasers: We use these in the acute phase where a patient had many red spots that may be starting to form into a scar. A few treatments with these light based devices can shut down the red vessels and make skin look more even and decrease the chance of a permanent scar formation.
  2. Fractional Resurfacing- “heating” type or non-ablative. This procedure stimulates new collagen formation by heating tiny columns of tissue without damage to the surface of the skin. After each treatment there is mild redness and swelling which goes away in a few days. The treatment needs to be repeated at least 3 times over the course of several months.
  3. Fractional Resurfacing with CO2 laser- A more intensive treatment that can give a great improvement in the texture of the skin. The laser vaporizes tiny columns of tissue. Healing takes about one week and is accompanied by significant peeling. During this time you must be away from work or social activities. It is usually done once or twice. The results are excellent but take up to 6 months to fully appear as collagen keeps growing in the skin for months after the procedure.
  4. Microneedling is a new alternative for lower cost than laser treatments. By introducing fine needles into the skin new collagen is stimulated. Microneedling is done using a special vibrating pen like device that is fitted with a sterile tip containing tiny needles. A numbing cream is applied for 30 minutes and then removed. After treatment most people will experience redness and mild swelling in a similar way as mild sunburn for 24-48 hours but can resume regular activity almost immediately. There may be minimal pinpoint bleeding and/or bruising. The goal of microneedling is to break down old scar tissue and to stimulate skin cells to produce new collagen. This results in the formation of new tissue layers of elastin and collagen fibers as well as in new capillaries for improved blood supply. In response to the stimulus, the skin plumps and thickens. Microneedling can be used for mild to moderate acne scarring, skin texture and pore size. A series of treatments is required for best results. It can be used safely on skin of color.
  5. Superficial fillers- Newer fillers are being introduced that can be placed high enough in the skin to achieve a smooth look almost instantly for acne scarring. They are best used for someone who desires immediate improvement. Most fillers last at least a year when used in this manner giving patients options of immediate results, little downtime and a once a year visit to the doctor.

There are many new, safe, and exciting ways to give relief to acne sufferers. It is best to consult a physician who is experienced in all of the treatments available as your treatment should be specific to achieve your personal best.


We are looking forward to seeing you in person starting in a few weeks. In order to ensure the highest levels of safety we ask you to follow the new procedures outlined below

1. Please communicate with the front desk from behind the clear protective shield that we have installed. In order to minimize your time at check in we will handle all insurance or billing questions over the phone.

2. We ask that you fill out all new patient information or updated patient information prior to coming for your appointment. You will be provided instructions for updating this information.

3. Please wear a face mask to your appointment and use the hand sanitizer upon entering the building. We will be unable to see you in the office without a face covering.

4. Please arrive no earlier than 5 minutes prior to your appointment, and call the front desk before coming into the building. If you arrive earlier than 5 minutes, we ask that you please wait in your car and we will call you when we are ready to see you.

5. If you are more than 10 minutes late for your appointment, we may need to reschedule your appointment. Please call the front desk and wait in your car while we reschedule your appointment.

6. Only the patient being seen is allowed in the office. Anyone accompanying you to the office must wait in the car if possible until it is time to pick you up. Exceptions will be made only for legally necessary companions.

7. If you are coming for aesthetic services please call to let us know that you have arrived and we ask you to wait in your car until we are ready for you and then we will bring you directly to the treatment room for your visit.

8. We ask that you carry only one personal item with you and keep your personal item with you at all times.

9. You will be asked to reschedule if you have a fever or cough. If your health situation changes on the day of your appointment, please notify the office and we will reschedule you. If you were exposed to anyone with COVID-19 symptoms please wait at least 14 days to come into the office. We will happily reschedule your visit.

We are looking forward to seeing you and providing you with safe skin care so that you can live a healthy life!

Our staff is continuing to follow all proper safety — hand washing, wearing PPE and using proper disinfecting and sanitizing guidelines. Thank you for your cooperation in keeping everyone safe!


Your Springhouse Derm Team

The newest generation of lasers is based on pulses that are short—a trillionth of a second, called a picosecond. These high intensity pulses are on for such a short time and do not generate significant heat in the skin. Picosecond lasers were originally developed to target tattoo pigment, but after introduction there was a new finding—these lasers could cause new collagen to be stimulated by their mechanical effect on the skin deep under the surface. This way, picosecond lasers can cause smoothing and a vibrancy to the skin without the swelling, discomfort, and downtime of 3-7 days associated with other fractional devices which use heat to stimulate skin renewal.


The picosecond lasers are excellent at targeting pigment—both in brown spots related to sun damage, as well as background pigment accumulated over years of sun exposure that can lead to a dull complexion. Picosecond lasers are high energy devices that can break up pigment on contact and sometimes produce visible results by the end of treatment that continue to improve for several weeks, leading to a radiant complexion.

One of the most difficult forms of pigment to treat is melasma – or the blotchy pigment often associated with pregnancy or hormone use. Melasma can be very difficult to treat with other lasers where it tends to reoccur and sometimes returns far worse than it started. With Picosecond lasers the skin can be gently treated to fade the melasma without stimulating new pigment to occur.

Margo Weishar, MD

The Story

Founder/CEO, Patti Pao, discovered the power of the Aquabeautine XL® hatching enzyme while on a tour of a salmon hatchery in Western Norway. She noticed that the workers’ hands, which were submerged in the hatching water all day, looked as if they were in their 20’s, while their faces looked much older than their actual age. Baby salmon release this enzyme in order to get out of their egg shell. Unlike a chicken, who can peck its way out of its eggshell, a baby salmon needs assistance. This is because the salmon egg membrane is very tough and rubbery. When they are ready to be born, they release the hatching enzyme. The hatching enzyme carves a hole in the eggshell creating an opening that the baby salmon swim out of unharmed.

How the Enzyme Works

The hatching enzyme is too large to penetrate beyond the second layer of skin (see big blue dots below). The enzyme is designed by nature to digest only the dead skin cells because if it harmed living cells, it would damage the baby salmon. This is why when applied to human skin, the hatching enzyme sits at the “horny” layer of skin where it continuously digests the dead skin cells leaving the living cells untouched. In contrast, retinols and glycolic acids (see small red dots below) are small molecules which work by chemically burning through layers of living and dead skin cells. This results in thinning the skin making it sensitive to UV light and results in the appearance of red and flaky skin.

*The above article is shared directly from the product line website. You can find the original post here.

Aquabeautine XL mechanism of action (skin derma schem)

Should you be taking or applying your vitamins? We broke down the vitamins needed to unveil your best skin!

Vitamin A – the vitamin responsible for the group of retinoids. Retinoids have been studied for decades and have been proven to treat acne and reduce fine lines and wrinkles.

Externally: Using a topical retinoid can improve texture and tone, decrease pore size, and brighten appearance. Internally: vitamin A is important for vision, immune system function, cell reproduction and supports healthy skin and wound healing. Answer: Apply it! A pea size amount is all you need to apply at night. We recommend introducing this product gradually to avoid dryness.

Vitamin B – There are a couple of different B vitamins that have a healthy role in the skin.

Vitamin B3, Niacinamide (Nicotinamide), and Niacin Externally: This is an essential ingredient for certain acne and rosacea treatments due to its anti-inflammatory function. It also slows down the natural aging process resulting in healthier, youthful appearing skin. Internally: B3 has proven in clinical studies to prevent and reverse skin cell damage from UV exposure. Research shows it can prevent recurring non-melanoma skin cancers such as a basal cell or squamous cell carcinoma, in high-risk patients! Answer: Both! Niacinamide is found in many anti-aging creams and serums. Using this product will enhance your overall tone and revive your skin! Talk to your doctor about starting a vitamin B3 supplement such as Nicotinamide for additional skin cancer prevention. If you tend to blush and flush, take niacin with caution as it likely causes an intense flushing!

Vitamin B5, Pantothenic Acid Externally: This B vitamin works to maintain the skin barrier by reducing water loss and improving the skins hydration and elasticity. Adding a vitamin B5 gel into your skin care regime will help decrease fine lines and leave your skin hydrated and glowing! Answer: Apply it! Maintaining a well balanced diet will help ensure you’re getting enough B5

Vitamin C – this well-known vitamin is doing a little bit more than just boosting your immune system! This potent antioxidant can be used to treat and prevent changes in the skin associated with photo-damage.

Externally: Vitamin C serums can be applied daily to neutralize the damage from environmental toxins, pollutants and UV exposure which are the culprits of skin cancer, collagen and elastin breakdown and sun damage. Internally: vitamin C is essential for collagen production and has a major antioxidant and immune function role. Answer: Both! We love topical vitamin C serums to really see the magic and your daily oral supplement to enhance the benefits! Apply and take daily to prevent and protect!

Vitamin D – you may know this one as the “sunshine vitamin” But this doesn’t mean basking in the sun is an excuse to get your daily dose! Yes, our skin does synthesize vitamin D with exposure to UVB however, that is not the only way to get sufficient levels!

Externally: Be sure to wear your SPF 50 when getting your daily dose of sunshine! Internally: Healthy bone support, immunity booster, and of course, beautifies the skin! When it reaches its target in the skin, it boosts elasticity and collagen production, reduces inflammation and enhances a radiant complexion! Answer: Take it! Vitamin D3 is a great supplement to boost your levels and reach these effects.

Vitamin E – Last but not least, vitamin E, another photo-protective antioxidant that helps fight off the damage we get from UV exposure.

Externally: Applying vitamin E topically in combination with a topical vitamin C, can deliver the properties needed to combat aging and sun damage. Vitamin E also reduces inflammation and is a rich, hydrating topical! Apply with caution, as some people are sensitive to this product! Internally: You can get adequate E in your multivitamin! Taking this daily will enhance cell protection and prevent oxidative stress damage! Answer: Both! Is there a sunscreen alternative?

With the summer just around the corner we have another supplement on the rise to enhance your sunscreen called Heliocare! This supplement is a natural extract that has been clinically studied and has shown to decrease the number of sunburns, redness, and damage from UV exposure. Many people struggling to apply and reapply sunscreen can now take this supplement to help internally provide sun protection! Ask us about Heliocare at your next visit!

Dominique Marques is a nurse at Springhouse Dermatology currently studying to become a Nurse Practitioner at the University of Pennsylvania.

A Note from Springhouse Dermatology: Over the past few years, we’ve had several people contact us about grey hair treatments. We don’t want you to be disappointed, so before you start reading we want you to know that, currently, there is no proven way to permanently treat grey hair. For the time being, you’ll have to stick to the old-fashioned methods of tinting and dying if you want to banish those stray greys.

We do offer a revolutionary treatment to treat thinning hair. This non-surgical treatment uses platelet-rich plasma to treat signs of hair loss and balding. If you’d like to learn more about PRP for hair loss or any of our other non-surgical cosmetic treatments, we invite you to contact us today!


Those of us over a “certain age” are mystified by the trend among younger people to dye their hair grey as a fashion statement. In our culture grey hair is “distinguished” for men, and “a constant struggle” for most women. I remember fondly the days when I would have my hair colored just for fun rather than as a constant battle against the realities of aging. Not that I don’t love all grey hair on a man or woman- its a beautiful look that works so well for some, not well at all for others. But imagine a day when you will be able to decide whether to love it or leave it behind forever?


Hair color is determined by the type and concentration of the pigment molecule Melanin in the hair. The more melanin the darker the hair. Red shades are caused by a special type of melanin. Hair begins to turn gray when the cells producing the melanin in the hair follicle give out. Different types of grey – salt and pepper, silver, white are an optical illusion cause by the mixture of some dark hairs with the white hair.


Recent scientific studies from different sources have been published that shed light on the process of greying and give some hope for being able to avoid greying altogether in the future.

  1. The first was a large study of over 6000 patients revealing that the timing of the appearance of grey hairs is controlled by a gene. The gene called IRF4 potentially provides a target for future research in delaying or turning off the gene completely.
  2. The second study shows that there are influences by environmental factors which cause oxidative stress on the cells. Smoking, sun exposure, poor nutrition may all produce free radicals that damage the ability of cells to produce pigment. Anti oxidants, both ingested and applied to the scalp may offer some protection against this damage. Loreal is developing a product which would potentially work to reduce this damage to the follicles. The catch- you would have to start taking this product ten years before you see a grey hair- but for some people who have seen relatives go grey at an early age this might be a motivation.
  3. A third revelation shows that pigment producing cells are controlled by a protein which is able to turn them on and off. So if scientists are able to manipulate this protein (right now only in mice!) someday this may lead to advances that would be able to adjust the level of grey in humans.

Results of PRP Treatment for Hair Loss

Much more research is needed before a practical “cure” for grey hair is available to all. Hair colorists need not be concerned- a cure is years away- and when it happens you will be able to choose to embrace it or leave the grey behind!

Before and After PRP TREATMENT FOR HAIR LOSS, female head, patient 1 Before and After PRP TREATMENT FOR HAIR LOSS, male head, patient 2 Before and After PRP TREATMENT FOR HAIR LOSS, right side view, male head, patient 3 Before and After PRP TREATMENT FOR HAIR LOSS, left side view, male head, patient 3 Before and After PRP TREATMENT FOR HAIR LOSS, front view, male head, patient 4 Before and After PRP TREATMENT FOR HAIR LOSS, front view, male head, patient 5 Before and After PRP TREATMENT FOR HAIR LOSS, female head, patient 6 Before and After PRP TREATMENT FOR HAIR LOSS,right side view, female head, patient 7 Before and After PRP TREATMENT FOR HAIR LOSS, front view, male head, patient 8 Before and After PRP TREATMENT FOR HAIR LOSS, front view, male head, patient 9 Before and After PRP TREATMENT FOR HAIR LOSS, front view, male head, patient 10 Before and After PRP TREATMENT FOR HAIR LOSS, front view, male head, patient 11

The Double Skin Cleanse is becoming super popular because it’s necessary to remove that excess oil and makeup from your skin. Most people don’t realize that a single cleanse with a water-based surfactant cleanser can still leave behind a film on your skin which consists of make-up and sunscreen which has mixed with your body’s own sebum during the day to create a film of oil-based debris. This debris cannot be removed with the typical water-based cleanser because water and oil don’t mix. Therefore, you need to precleanse with an oil-based or creamy makeup remover to help remove this layer of oil, dirt and makeup from your skin.

Skin Care Regimen

Step 1: Removing Makeup or Pre-Skin Cleanse You spend so much time putting on your make up, therefore it doesn’t just come off in one cleanse. You need to use a gentle, soothing makeup remover, oil-based cleanser or makeup wipe to remove mascara and lipstick. I prefer oil based cleansers to remove make up because oil attracts oil (oil and water need an emulsifier) so oil based make up removers attach to the oil in your skin that has mixed with your make up and then wipes it cleanly away. Those with oily, acneic skin can benefit the most from this step.

Step 2: Cleanse. This is the most important step because it preps your skin to accept serums, night creams and any other anti-aging or acne-fighting ingredients you are putting on your skin. If you have active acne lesions I recommend a cleanser with Salicylic Acid or Benzoyl Peroxide. If you have combination skin I recommend a foaming gel-based cleanser. If you have dry or mature skin I recommend a creamy cleanser or a cleanser with Lactic or Glycolic Acid to help prep the skin for anti-aging ingredients in your serums and moisturizers.

Step 3: Exfoliate. It is recommended that you exfoliate once or twice a week to get rid of built-up dirt and oil and get rid of dull, dead skin to stimulate healthy cell turnover. Cell turnover rate is what keeps our dead, dull skin cells from building up. Our skin produces new skin cells that travel from the lowest layer of the epidermis to the top layer and then shed off./p>

Why Choose Springhouse Derm?

As we age our cell renewal rate or cell turnover rate slows down. Babies– skin cells turn over every 14 days (which is why their skin glows) Teenagers– skin cells turn over every 21-28 days. Middle Age– skin cells turn over every 28-42 days. 50 and up—skin cells turn over every 42 to 84 days. The top layer of your epidermis makes up about 15-20 layers of dead skin Aestheticians encourage their clients to incorporate mild exfoliation into their at-home skincare regimen 2-3 times so that new, healthy skin cells can come to the surface, revealing brighter, smoother skin! By scheduling your skincare consultation with Springhouse Derm, you can ensure the healthiest complexion possible!

We all know that sun is bad for your skin by now- I mean don’t we? Brown spots, sagging, lines, large pores not to mention the bad one- skin cancer- and I don’t mean just the ones like Basal Cell that we can cure but also the really scary Melanoma kind. But here are ten ways you can protect your skin and still enjoy the active outside lifestyle.

  1. Get a hat- no not a baseball cap- one with a brim. It will cover your head and neck and keep you cooler than exposing your head. Try Tilley hats available online and in lots of outdoor stores.
  2. SPF clothing- its arrived- finally- cool activewear made of SPF 50 fabric. Its available from Athleta, Gap, and sold in golf stores, gardening stores, REI and EMS
  3. Wear a rash guard when doing water sports- Surfers have been doing this for years- it just makes sense to cover up your exposed parts when lying on a board in the middle of a large reflective surface
  4. Don’t lie out on a blanket in the sun covered with oil. just don’t. Thats so 60s. You might as well just wear mom jeans.
  5. Bring an umbrella to the beach. Lie under it. If you are a lifeguard insist on some shade.
  6. If you really really must be brown in the summer treat yourself to a awesome spray tan. Just don’t expect it to allow you to lie out in the sun. see #4
  7. Go running in the morning, or at sunset. Ditto for other outside sports. Its prettier then and if you get up early you will get more done during the day. And its not as hot
  8. Watch out for medicines that can make you sun sensitive. If you take Doxycycline for acne you can burn much faster in the sun. When in doubt ask your doctor.
  9. Take Vitamin D3. Ok I can hear the chorus now- “Whaa- I need my vitamin D- you are taking it away from me!” Nothing could be more simple- firstly- your vitamin D4 in your body is converted to the active form D3 within 15 minutes of sun exposure. Kinda takes away your plan to like out all day doesn’t it? Also the converted form Vitamin D3 is pretty much available anywhere vitamins are sold. So if you are a dedicated sun avoider you can take 1000mg (1 little pill) or if you are low on Vitamin D- 2000mg (that 2 little pills) to build it up again and then switch to one. You can ask your doctor to check a vitamin D level to see where you stand.
  10. And last but certainly not least- Sunscreen for your face and for your body. Facial sunscreens should take into account your particular skin needs as the wrong ones can exacerbate conditions like acne, rosacea and dermatitis. Facial sunscreens can come in many varieties and your dermatologist can recommend ones best for your skin type. The most important two words to look for now are not SPF they are BROAD SPECTRUM. Trust me- there is so much confusion over the right SPF that it is no longer worthwhile to talk about them. But what you do need is a screen that covers all the damaging sun rays. The safest contain forms of zinc that have been ground down enough to spread over your skin without looking like Casper.

So as you can see its is insanely easy to protect your skin. Even if you cheat once in a while you are still cutting out most of your lifetime supply of UV damage. Just do it.

Imagine Never having to shave again. Laser hair removal treatments can do just that! Laser Hair Removal reduces your hair removal routine and leaves your skin with a smooth feel and look that cannot be achieved through other means. It is the best hair removal option currently available on the market today. During laser treatments, the hair follicle is altered, either permanently removing or replacing the unwanted hair with a vellus (fine, light-colored) hair. IPL laser hair removal can eliminate up to 85 percent of dark coarse hair. Just about any area can be treated with minimal discomfort and virtually no down time. Most patients tolerate the procedure without any anesthesia. However, if sensitive areas are to be treated, a topical anesthesia cream can be applied one hour before treatment. Immediately after the procedure, the treated area may appear slightly pink in color and may feel like a mild sunburn. This reaction subsides within minutes to hours and cool compresses will hasten the disappearance of these symptoms. You can return to your daily activities immediately.

Why Choose Springhouse Dermatology?

Over 100 laser treatments performed a month!

All treatments supervised by an expert laser Dermatologist with over 25 years of experience in laser medicine.

  1. Industry Leading
  2. Great Package Prices
  3. Trained, Experienced Technicians
  4. Gold Standard
  5. State of the art Lasers