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Depth is not the only thing to consider. If one uses fully ablative mode, 200 microns can be treated with one pass, namely twice the thickness of your epidermis. There is no physical limit to the depth. If Fractional is used 1.5 mm. Its not the device that gives you the best outcomes, its the METHOD. Acne scar revision comprises of specialised procedures. For the best results, one should target the acne scar type with ideal treatments METHODS. Using one device is not optimal. As everyone has a unique pattern of acne scarring, the best solution is a tailored one. The web reference below will take you to a resource to help you understand acne scar revision at a specialist level. I embedded all the videos in one page to help. As an example deep ice pick scars, and narrow box car scars are best treated with TCA CROSS. Deep narrow scars respond better to this treatment than even the most expensive lasers. On the flip side, rolling, and atrophic acne scars can improve with fractional devices such as Fraxel, fractional lasers, ProFractional erbium lasers, Infiini –Intensif –Intracel radiofrequency microneedling. Atrophic scars (depressions) can be treated with either fat grafts, PRP or dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that I use include punch elevation, surgical elevation, punch excision and traditional excision for focal scars. Early and very mild acne scars respond well to eMatrix and non-energy microneedling, as well as vascular lasers. Skin colour changes such as PIH or dark marks respond best to sun protection, creams, and Q switch lasers in the nano and pico pulse durations. The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. Additionally tactile examination namely touch will give me an understanding of the amount of subdermal fibrosis, as special equipment is needed for this sub-set of acne scars. In the majority of patients its finding the correct combination that give you best results, and everyone is unique! It is never about the device, its about the specialist behind the equipment that will deliver the best outcomes. All the best, Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.
Looks good overall but very swollen. Some people tend to swell a lot. Stay away from all sodium and sleep propped up on some pillows. You should start turning the corner around 72 hours. Thanks for your question
Erbium with Profractional has a long PD and big spot size. This is common, and should have been addressed before laser treatment. OK, at 2 weeks it is still very early 95% will fade within 3-6 months. If they persist at 6 months a small hole laser like Thullium driven 1927 and 1550 or diode d...
The Profractional laser goes up to 1500 microns deep. 200 microns is about the thickness of 2 post-it notes, ie shallow. Most of the time 400-800 micron range is needed. I usually start at 400-500 and increase the depth each visit for a total of 2-4 treatments, depending on severity. Thank...