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Dermaroller vs CO2 Laser Resurfacing for Acne Scars?
asked 2 years ago by Alishba in India
Latest answer by Glenn Vallecillos, MD
Question viewed 7,009 times
Tags: face, acne scars, comparison
Last year I had Roaccutane to get rid of acne which is gone but now my major skin problem currently is my acne scars which are deep. My Dermatologist suggested both the treatments, Dermaroller and Laser Fractional Resurfacing CO2. Both cost me the same amount and around the same amount of sittings (8 sittings). Both treatments are painful and I hardly know much about their side effects. Which one do you suggest? Can you please let me know their side effects? I have a tan complexion. Does that matter?
4 answers to Dermaroller vs CO2 Laser Resurfacing for Acne Scars?
+4
Dermaroller vs Laser for acne scars
I have used both techniques but find the roller to be somewhat barbaric. I usually recommend subcision/excision of scars followed by ablative fractional resurfacing. I like the 2790 nm system or a CO2 system. Not all lasers are created equally and not all users are experienced with lasers. Acne scarring is challenging to treat. I do a lot of this in my practice and feel that there is a great deal of nuance and expertise required to treat this condition safely and effectively. Buyer beware!...
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+4
Both the roller and the CO2 laser improve acne scars
Acne scars can be a frustrating problem for both the surgeon and the patient. Different types of scarring will respond differently to therapy. I have found that the derma roller or Roll-Cit works well on acne scars. It punctures the skin multiple times with tiny needles. It is a very painful procedure and I usually do it in the operating room under anesthesia.
I have found that a single therapy is adequate and down time is about 6 days. Your face will look swollen, really swollen, and...
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Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon
Oklahoma City Facial Plastic Surgeon
+3
Dermaroller and Fraxel for acne scarring
Both treatments induce injury to the dermis so that a repair mechanism results. New collagen is deposited in the areas of the microholes. This new inflammatory process, may help raise depressed scars. The combination of these two treatments, might increase the risk of scarring compared to the risk of each procedure when done separately. Dermaroller treatment has not been studied nearly as throughly as Fraxel!
+2
Dermaroller and CO2 Laser Resurfacing for Deep Acne Scars
Alishba,
Good question. Managing of deep acne scars can be a difficult problem. In our practice we utilize both the dermal roller in combination with fractionated laser resurfacing to manage a plethora of scarring, including deep ance scars and stretch marks. The treatments are performed independently of one another, typically months apart. This, done, in combination with an oral and topical skincare regimen, offers superior results as compared to performing either procedure...
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