I have never had serious acne, but it seems every time get a pimple it leaves a scar. This has been going on since late teens, I am now in my 40's. I have tried smooth beam, erbium, fraxel and have now tried 2 sessions of pro fractional, but I still don't seem to see any improvement. I think i have a combination of large pores, ice pick scars and a few box car scars. thanks,
What Treatment Would Be Best for my Acne Scars? (photo)
Doctor Answers 2
Your acne scars appear to be mild- not severe.
In my experience both Fraxel Erbium and Fractional CO2 lasers both improve acne scars. The degree of benefit varies but should be 50-75% softening of scars- not all scars will be gone. Some broader scars may benefit from a "scar revision". The scars may be excised using a small 2-3 mm instrument, sutured and then treated with Fractional CO2 or Fraxel laser. The large pores will not be resolved with laser but a good skin care program with exfoliating agents including some Tretinoin or Retin A may give the appearance of small pores.
Acne Scars - Treatment?
I may be blind, or it may be the pictures, but I can barely make out any "scars." I see some enlarged pores and a few pits, but nothing I would call scars. Perhaps you didn't see results with all those other treatments because there wasn't much to treat. You may do better with some RetinA to work on the pores and texture as well as micro-dermabrasion or chemical peeling for light resurfacing and exfoliation.