I have acne scars on my chest, shoulders, and back and runs down to my hips. I am interested in laser treatments, but doesn't have to be laser, whichever would work best in my case. I would appreciate recommendations on the type of treatments that would be best for my acne scars based on my photos. I would also like to know how many treatments I would be looking at for significant improvement. Thanks in advance.
Acne scars - not sure which method of treatment is best for my case?
Doctor Answers (2)
C02 Laser may be appropriate, but consultation needed
It is always difficult to judge how many treatments would be required just from looking at photos. I always recommend, and in fact insist on patients coming in for an in-person consultation.
At a glance, I would say a CO2 laser machine might be a consideration for your case. The Ultrapulse CO2 Laser machine, which I use, is able to penetrate deep into the skin, up to 4 mm versus traditional lasers, which penetrate only about 1 mm. This means we can treat deeper scarring that results from more serious acne. It does this by stimulating the body to replace scar-managed skin. It also has minimal side effects, and my patients report wonderful results with little discomfort
Acne scars and PIH
Re your acne scars --
Your scars look bad because of post-inflammatory hyperpigmentation (PIH).
PIH is hard to treat, especially on arms & torso. Be patient. Treatment can be expensive.
Avoid the sun, wear sun blocking clothing or sunscreens.
Choose a test area to treat. Skin bleaching, e.g. hydroquinone and Retin A is first.
Then chemical peels (TCA, phenol/croton oil) or lasers.
The best laser depends on PIH depth. Short wavelengths treat superficial pigment, longer wavelengths penetrate. At least 3 treatments are needed.
Once the test area looks good, treat other areas.
See a dermatologist or plastic surgeon with time, interest and knowledge to help you.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.