Acne Scars Treatment Q&A
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Should I Have a Laser Treatment or Scar Excision for Acne Scars?
asked 6 months ago by cape cod in cape cod, ma
Latest answer by Danielle DeLuca-Pytell, MD
Question viewed 275 times
Tags: boxcar, comparison, deep, excision, ice pick scar, laser
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?
6 answers to Should I Have a Laser Treatment or Scar Excision for Acne Scars?
+1
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!
Danielle DeLuca-Pytell, MD
New York Plastic Surgeon
New York Plastic Surgeon
+1
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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Laura Skellchock, MD
Palm Beach Dermatologic Surgeon
Palm Beach Dermatologic Surgeon
+1
Acne scars
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.
+1
What to do for acne scars
Many treatment modalities are available to improve acne scars. Your choices are going to be determined by several variables. Tethered scars can be released and injected with tissue filler. Larger scars may do well with excision. Laser resurfacing can also cause improvement.
Chemical peels may help color and texture. Many if these treatments could be combined for greatest benefit. With appropriate combinations of treatments you will get the best result. I recommend you seek the council...
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Pamela Carr, MD
Sugar Land Dermatologist
Sugar Land Dermatologist
+1
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).
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+1
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...
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