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Olived Skin Hispanic with Acne Scars (Boxcar/rolling) - Best Treatment?

asked 1 year ago by mikul93 in Redwood City
Latest answer by Edward Lack, MD
Question viewed 442 times
Tags: male, best, boxcar, hispanic, olive skin, rolling scar, treatment

I am a Hispanic male in my mid 30's and I want to do something about my acne scars. I am a Hispanic with olive skin and am considering one of the Fraxel laser treatments. I have moderate/severe boxcar and rolling scars. I am very nervous about the possible complications that laser treatments carry with olive-skinner individuals. What is my best option for treatment?

4 answers to Olived Skin Hispanic with Acne Scars (Boxcar/rolling) - Best Treatment?

+2

Treating acne scars in dark skinned patients

Acne scars in dark-skinned patients are a common problem.  I treat a great many patients for this condition.  I find that boxcar and rolling scars respond best to surgical treatment including subcision and excisions/dermal grafting.  I do not feel that lasers are the primary modality for treatment but rather a second line of treatment once the surgical procedures have been used to maximize skin contour.
Brian Biesman, MD

Nashville Oculoplastic Surgeon
+1

Subcision may be best option for acne scars that are depressed in patients of color

Subcision may be best option for acne scars that are depressed in patients of color.  In this procedure a 1mm knife at the end of a surgical needle is used to break the scar beneath the skin, minimizing any chance of color change of the overlying skin.
Edward Lack, MD

Chicago Dermatologist
+1

Acne scar treatment in darker skin types

I treat a large number of patients who are tanned or have naturally darker skin.   My treatment of choice for deep acne scar in such patients is direct excision of the larger acne scars followed by wire brush dermabrasion.  We place all patients on hydroquinone based creams for at lest 3 weeks prior to procedure to lessen the chance of post-procedure hyperpigmentation. With dermabrasion long term pigment loss is quite rare (I have never seen it in my practice), making it the... more
A. John Vartanian, MD

Glendale Facial Plastic Surgeon
+1

Darker skin types should approach some laser technology with caution

Patients with inherent pigment to their skin can be a challenge for treating physicians.  In Southern California with treat a preponderance of patients with Hispanic, Asian, or Middle Eastern heritage, in addition to tanned Caucasian skin--all of which may pigment following laser or light technology treatment.  "Fraxel" treatment can mean several things--both nonablative and ablative laser resurfacing technologies. Boxcar and depressed acne scar treatment can be... more
Melanie D. Palm, MD

San Diego Dermatologic Surgeon

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