Which treatment would be best for me to remove acne scars and decrease pore size? I am 42 with a long history of acne. (photo)
Doctor Answers 9
Acne scars and pore size
You Have Many Options to Remove Acne Scars
Fractional devices are the most popular devices that we are using for acne scars. Non-ablative devices, such as the Cynosure Affirm, work very well with a series of treatments, usually 4-6, at four-week intervals, with minimal downtime. The ablative fractional lasers, such as the Lumenis UltraPulse, the Lumenis AcuPulse, the Syneron Core, or the Ellman Cortex, also work well on these scars, with 1-2 treatments usually needed, and with downtime that can be from 5-7 days, in most cases. The sublative devices, which are bipolar RF fractional devices, include the Syneron eMatrix and the Venus Viva. Our office performed the FDA studies for the eMatrix for acne scars so we know that most require 3 treatments, with minimal downtime, and some very nice clinical results. And a new class of devices, the RF associated microneedles, such as the EndyMed Intensif, also work well with minimal downtime; again, several treatments are needed.
So there are many options – make sure that you learn what is out there and know what to expect with each device that can be used.
Depends .... laser resurfacing is still the best.
I personally would perform full laser resurfacing (none of this multiple fractional business). I would use an Erbium laser, treat your scars, till Im UNDER your scars (that is the end point), possibly finish off with CO2 5% 3 passes. This should improve things by 70-80%. Downtime? 9 days plus.
Thanks for the photo,
all the best,
Dr Davin Lim
Laser and Cosmetic Dermatologist
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Acne treatment after Accutane
- There is no simple answer - but a lot of options.
- Some skins respond dramatically to an aggressive skin care program, such as Obagi.
- Surgery to remove deep, sunken scars reduces shadowing.
- Fillers such as Radiesse can do the same.
- Stimulation of the skin with a no-down time laser or light peels often helps.
- Deeper laser and deeper peels are needed for others.
- Pore size is difficult to predict.
- See a Board Certified Plastic Surgeon or Dermatologist to review what bothers you, your goals and come up with a step-by-step plan. Best wishes.
There are many treatment options for acne scars.
Next, there are several treatment options available for your acne scars, depending on how severe your scars are. Small pitted scars can be treated with chemical peels to your entire face or localized trichloracetic (TCA) CROSS technique applied to each pit. This may require many repeat treatments, which will encourage your skin to create new collagen over the course of several weeks to months.
You can also consider acne subcision, which is a "breaking up" of scars with a needle. Your doctor can also inject a dermal filler such as Belotero, which can help to fill in the scars after the subcision is done. This can also help to encourage new collagen formation.
A more intense approach would be laser treatments. Depending on your skin tone, fractional ablative (such as CO2 laser, best for white skin), and fractional non-ablative lasers can help to break up your scars and resurface your skin. These treatments also encourage new collagen formation, which will help fill in your scars.
I hope this helps!
Which treatment would be best for me to remove acne scars and decrease pore size?
I would recommend a fully ablative CO2 laser procedure. In comparison, a fractional CO2 laser would provide improvement but not to the level a "full" CO2 laser treatment would provide. The downtime would be 7-9 days with some lingering redness to pinkness for 2-3 months. The results would be significant but some of the acne scarring would persist.
I hope this helps.