How to treat my acne scars? (photos)
Doctor Answers 4
Subcision Plus Fillers For Depressed Scars; TCA CROSS For Pits; Microneedling For Blending Surface Color and Texture
I am not surprised by the lack of success with a one-size-fits-all fraxel laser treatment series. If you have seen any of my other acne scar treatment answers, it should be clear that I am not much of a fan of them (nor of many of the other energy-based devices, like radiofrequency and ultrasound machines)--finding them relatively expensive and disappointingly far more device manufacturer backed marketing hype than hard science.
Fortunately, a few tried and true and comparatively inexpensive approaches may lead to more gratifying results. Depressed scars should be elevated by subcision to break up the tethering bands of scar tissue that are pulling the scars downward followed by the injection of a filler to further elevate and support the skin and to additionally promote new, native collagen and elastin fiber synthesis. I share your hesitation about the use of permanent fillers, such as Bellafill, since permanent means if anything goes wrong, early on or even many years later--as sometimes happens--or you don't like the results, you are permanently stuck with them.
Pit scars can be treated with the TCA CROSS Technique, using either the traditional full strength TCA or full strength phenol.
Medical microneedling treatments, perhaps using needle lengths up to 2.5mm can subsequently be used to blend better any residual surface tone and textural irregularities the treated scars with the surrounding normal skin.
Finally, sunken areas, such as appears to be the case at least with the right cheek can be volumized with a volumizing filler, which would serve two purposes: one to elevate the hollowing and secondly to stretch the overlying skin and by virtue of making it more taut make the overlying scars more shallow and less visible (i.e. less of the so-called "craters on the moon" shadowing that makes depressed scars more visible and outstanding).
For more information on any of the above, check out the archives of RealSelf.com
You would do well to consult with a board certified aesthetic physician with experience and expertise in acne scar treatments. Best of luck to you.
Sculptra can minimize or diminish the appearance of scars.
Sculptra stimulates your body's own collagen and is often used for anti-aging but because of the collagen production it delivers a more natural result than fillers. I often treat acne scars with a needling/Sculptra combination and have consistently good results.
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
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