Next steps for acne scarring: keep going or give up? (Photo)

Question

Hi, I have acne scarring and have.had numerous procedures with little result (maybe 20%): 1) Punch excision (had horrible red marks that eventually became white) 2) full ablative C02 laser x1 3) 3x Morpheus8 and 2 halos 4) Subscision/TC cross/filler/erbium one month ago. Doc that performed #4 told me today that another subscision won't help further but he will keep doing trio. Says my best hope at this point is filler. Should I give up and resign to filler/tc cross/yag? What would you do?

Raffy Karamanoukian, MD, FACS · Answer

Acne scar treatments require precision and attention to detail. There are several types of acne scars, including atrophic, hypertrophic, PIH hyperpigmented, and hypopigmented scars. Depending on the types of scars you have, our office can recommend a Hidef treatment protocol that can recontour existing scars and reduce complexion irregularities. The results are simply life-changing. As a general rule, we recommend fillers, subcision, acne surgery, RF ablation, and laser ablation to help with atrophic scars. Hypertrophic and keloid acne scars require pulsed dye laser and IIT SC. PIH scars require chemical peels, Melarase creams (AM and PM) and laser.If you have ice-pick scars, we recommend RF ablation and TCA Cross.Best,Dr. KaramanoukianRealself100 Surgeon

Laura A. Katz, MD · Answer

As long as these are old scarring changes and there is not active acne still occurring, morpheus 8 radiofrequency microneedling would be a great option.  The morpheus 8 will transmit energy into the tissue to stimulate remodeling, plumping of collagen, skin tightening and muscle contraction.  It is also a scar reducer.  It is a simple in office treatment with minimal down time and you can often see results within the month.  Depending on the extensivity and depth of the scaring, a follow up radiofrequency resurfacing could also be done.  Here are some helpful links.

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