Center for Dermatology and Laser Surgery - Sacramento

Typically when treating acne scars with the PicoSure laser, we usually recommend 3-5 treatments. So you likely did not have enough treatments to achieve an ideal result. There are other modalities that also work very well for acne scarring. In our practice, we utilize the Vivace RF Microneedling device and often combine it with the PicoSure to tackle difficult to treat acne scars. So you could certainly consider continuing with more PicoSure treatments or consider RF microneedling instead or as an adjunctive treatment. Keep in mind that with any of these treatments, a series of anywhere from 3-6 treatments is generally recommended to achieve the best results. 

Other than toxins such as Botox and Dysport, TempSure Envi can be a nice tool for addressing the periocular area. Another option you may want to consider is RF Microneedling with a device such as the Vivace. TempSure Envi is radio frequency only device (RF), while Vivace combines radio frequency (RF) with microneedling for rejuvenation. We've seen excellent results at our clinic, particularly around the eye area, utilizing the Vivace. Filler would absolutely not be a treatment I would recommend for this area. 

Given the skin concerns you noted in your question, RF microneedling sounds like it would be a good option for you to pursue. Before I brought RF microneedling into my practice, I evaluated both the Secret and the Vivace, ultimately deciding on the Vivace for my practice. We have seen excellent results with the Vivace in my practice, however both the Secret and the Vivace are good devices and you will receive a good treatment from either device in the right hands. Given that these devices are pretty similar, I would encourage you to focus more on the provider administering the treatment, their experience and their results in their patients. With device treatments, getting the best treatment results is certainly partially dependent on who is administering the treatments given that there are different energy levels, needle penetration depths, number of passes etc. that your provider will have to evaluate for your particular concerns. I hope that helps.