Acne can hurt your skin even after it clears, but we can help

Living through acne certainly, ought to be enough to earn you a break from skin woes later in life. Unfortunately, even if your breakouts stop, you’re often left with visible signs of the acne that used to be. You might have dark spots or indentations, or a combination of both. But you don’t have to live with these reminders of what acne has done to your complexion.

The unsightly signs of past acne

There’s a difference in the marks on your face, neck, chest, back and shoulders that acne can leave behind:

  • Post-acne marks

These dark spots are heightened pigmentation, but they don’t cause a change in your skin texture.

  • Acne scars

These are the result of deeper, inflamed acne lesions, and they do change the texture of your skin.

When collagen isn’t a good thing

All post-blemish markings are the result of too much collagen in one spot and the inflammation caused by acne. If the acne inflammation is intense enough, it can destroy skin cells, which causes scarring. Excessive collagen can also cause a bump or elevation in the scar.

There are four different types of acne scars

  1. Ice Pick

Small, narrow, pinpoint scars that can penetrate deep into the skin.

  1. Rolling

Wide and shallow depth creates a wave-like appearance.

  1. Boxcar

Angular, well-defined edges

  1. Hypertrophic

Raised scars

Preventing acne scars is possible

I tell my acne patients that the best thing they can do to avoid acne scars is to be diligent about their skin-care — without over-doing it, drying out your skin and causing additional irritation.  I also remind all my patients to always use sunscreen. More difficult, however, is the advice to never pop their pimples. Picking will most likely make the infection worse, pushing bacteria deeper into your skin.

Deep acne scarring can be professionally treated

These days there are many ways to minimize the appearance of your acne scars and dark spots — from laser treatments to chemical peels to injectable fillers. Make an appointment today so we can find the best solutions for your skin needs.

Call (210) 692-3000 or (210) 370-9995.

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WHAT HAPPENS IN A CONSULTATION?

01. Get to know Dr. Bucay.

02. Help her understand you and your goals.

03. Learn about our services and specialties.

“Very comfortable environment, all staff very were very professional, and Dr. Bucay was a delight. She is an artist with the skills and compassion that focus specifically on the clients needs. Dr. Bucay is amazing.”

–Jorie K.

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Exciting News – We’re Moving!

For 35 years, as a board-certified dermatologist, I have provided compassionate and exceptional care while offering the latest advancements in skin health and rejuvenation.

 

Health care continues to evolve toward regenerative medicine and longevity, and dermatology is no exception.

 

My core beliefs are that health and beauty are not mutually exclusive, but beauty must never come at the expense of health. Skin health is foundational to overall wellness, and my mission is to empower every patient with the education and tools to optimize skin health.

 

In this spirit, I am thrilled to announce that effective August 3, 2026, the Hardy Oak location of Bucay Dermatology and Aesthetics will have a new home at Stone Oak Physician’s Plaza II, where I will be sharing a wonderful space with Dr. Michelle Harden, MD, Concierge Women’s Health, Menopause, Lifestyle Medicine.

 

I cannot think of a better setting that reflects the future of comprehensive wellness, regenerative care, and healthy aging.

 

I look forward to welcoming both our longtime patients and those visiting us for the first time to our new location:

 

Stone Oak Physician’s Plaza II

540 Oak Centre Drive, Suite 280

San Antonio, TX 78258

 

Now accepting new patients

To schedule your appointment, please call 210.692.3000

 

I am grateful for your trust and confidence – Vivian Bucay, MD

 

P.S. Of course, we will continue to welcome patients to our “La Casita” Monte Vista location at:

La Casita

326 W. Craig Place

San Antonio, TX 78212

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