Scar Removal: Q&A

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Options for Shallow Scarred Pores or Ice Pick Scarring?

I have this scarring across both my cheeks, nose, and forehead from years of blackheads and whiteheads. What laser treatment or other options would be best?

7 Doctor Answers | Asked by becky13 in California
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Acne scar treatment for ice pick scars and TCA Cross

Great question. Ice pick scars can be improved with TCA Cross or punch graft procedures. These are hard acne scars to fix, although.
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Fraxel For Acne Scars

Thank you for your question. At my practice, I have gotten excellent results for scarring with Fraxel. This treatment eliminates irregular skin discoloration, and stimulates new collagen production, tightening the skin without prolonged recovery. After a series of 2 to 4 Fraxel treatments, the cumulative cosmetic improvement is near more aggressive lasers, but unlike more aggressive lasers, redness and swelling eliminated within 2 to 4 days after each treatment. Fraxel is outstanding for... more
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TCA CROSS would be a good option, other than Fractional resurfacing, for ice pick scars.

For the scars from the photo, fractional resurfacing with laser/ radiofrequency devices would be good. You can also consider TCA CROSS, from a dermatologist who offers this service near you. You can start with a small test area for CROSS, and then go on to larger areas.

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Acne scar treatment depends on your skin type

Becky, There are several variables that affect the treatment options that are appropriate for acne scarring.  The most important variable is your genetic pigmentation level, measured  by the Fitzpatrick scale. (look this up on wikipedia).  In general, lighter complected patients can get away with more aggressive treatments that can be significantly more effective than the less aggressive treatments.  Darker complected patients can have severe and possibly... more
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Lasers or treatment for acne

There are a multitude of treatments for acne, and acne scarring. I use skin care lines with retina-a and hydroquinone to clear up skin dyschromias. I use IPL lasers, and Thermascan lasers to tighten pores and clean up acne as well as sun spots and ruddy complexions. I will even to microlaserpeels to "clean up" the skin. And there are more choices.
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Fraxel re:pair

I have had a lot of success with the Fraxel re:pair laser for treating acne scarring. It is not a 100% improvement, but can be close to 70% depending on the setting used. It also helps with skin discoloration, skin tightening and and fine lines. You have real down time for 2-3 days and then red, like a sunburn for a week or two. It is definitely worth it.
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Acne type scarring

There are several alternatives which may be helpful ranging from dermabrasion to laser treatments. My preferred mode at present is the Fraxel re:pair and I have had success with this form of treatment. It is a fractionally ablative laser rather than fully ablative which means that the tissues removed are on a microscopic level up to about 70%, rather than 100% for fully ablative. The fully ablative lasers (as well as dermabrasion) is 100% and has a prolo9nged healing time. The... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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