Long-term Improvement of Acne Scars?

I have a lot of depressed acne scars and pock marks along with a horrible skin texture. I have had dermabrasion, chemical peels, and most recently, Total FX and Restylane injections. The Restylane makes a difference, and I will continue with it, but there are so many depressed scars that it is hard to get to them all, and the improvement is so temporary. Can I ever really have a long-term improvement my acne scars?

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2 Doctor Answers | Asked by Sadycal in North Hollywood, CA

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Long term improvement in acne scars is possible

You can have long term improvement in some acne scars. For depressed scars, a strong chemical peel using a toothpick can help raise the depressed scars/pock marks. Also, this can be done with the co2 laser. The other way to improve those scars is just to incise them and remove the scars and carry out a reclosure. This new incision can then be resurfaced with a chemical peel or laser to improve the appearance of the new incision. This can be done all throughout your face. It takes a... more

Philip Young, MD

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Bellevue Facial Plastic Surgeon

Long-term improvement of acne scars

I would have expected Total FX to give you some noticeable improvement in your skin texture and acne scarring. It may be that you may need to wait a few months for the full effect of that treatment to take effect. In my experience, durable (indefinite) improvement can be achieved with a combination of subcision and the TCA cross method (though I prefer to use a modified phenol solution rather than TCA). A series of treatments at 4 week intervals is recommended. The main side effect with... more