I have some acne scars that arent very deep. Most are icepick but i also have one icepick and one boxcar scar on my cheeks. Would a scar excision followed by dermabrasion fix these or would a laser be better? If a laser, which type of laser would be best?
Should I Have a Laser Treatment or Scar Excision for Acne Scars?
Doctor Answers (7)
Acne scar treatment with lasers or excisions first
I would always do excisions before lasering. co2 lasering is for polishing and I usually do that last after all the other treatments. I would do a multilayered approach with some co2 laser resurfacing and some dermabrasion at the end.
Fillers for Acne Scars
There have already been some good answers to the question you posted! I have been very happy using fillers and subscision for acne scars. It is quick, straightforward, and involves little downtime or post-procedure care. The best advice I can give is to have a consultation with a board certified plastic surgeon or dermatologist who can give you an individualized plan of care. Best of luck to you!
You need to see a cosmetic dermatologist
it is quite difficult to answer this question without examining you and feeling the scars.....if they are depressed they need to be "released" first with subscision. Then you can see what needs to be done next. You may need to see a more "experienced" physician who has been practicing 20 years+ since this was one of the few procedures we had before lasers dominated the market - it's an old tried and true procedures which many have forgotten about!
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Sometimes lasers and sometimes chemical peels can help with acne scars. Fillers can help raise them as well. LaViv althougth "off-label" using your own fibroblasts looks very promising in improving these scars.
What to do for acne scars
Treatment for acne scars
Whether you do fractional laser resurfacing or excision and dermabrasion or filler for acne scars depends on how many there are and where they are located. If there are a number of scars, i would recommend fractional erbium laser resurfacing. That would give the skin a more uniform and smoother appearance than dealing with individual scars.
If you only have 1-2 scars, then I would consider subscission and filler or excision and resurfacing (dermabrasion or laser peel).
Acne Scar Treatments
I'd suggest you see a board-certified dermatologist with cosmetic experience for a consultation. Although photos would help here, in general, I would recommend eMatrix for acne scarring, usually 3-5 treatments. For more superficial scarring, it (often combined with Cutera Laser Genesis for the redness) will help clear up a majority of the acne scarring. For the deeper scars I would recommend small amounts of filler be injected into these sites. I don't normally recommend scar excisions for acne scarring on the face, those I more reserve for old scars on the body typically. Otherwise, you could end up with a different type scar, although smaller, that still needs an additional type of treatment. Dermabrasion, although somewhat effective, has a much longer recovery than the newer eMatrix or Fraxel type laser treatments.