What peel would be good to remove these acne scars on my chest? (Photo)

Question

Some of the acne scars have scabs on them but I wanted to know what peel would get rid of this?

Raffy Karamanoukian, MD, FACS · Answer

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin. 
 
Best, 
Dr. Raffy Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

A combination approach will give the most improvement. These types of scars need a combination of Cosmelan, lasers, microneedling/prp, subcision, salt facials and fillers. It may take a series of treatments and may need some treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer

Dennis Gross, MD · Answer

Thank you for sharing a photo!I believe that there is never a "one size fits all answer" when dealing with active acne & acne scarring. To help gain clarity of your chest we would want to take a few steps. We would want to make sure that there wont be another major breakout to stop our progress- this can be maintained with a proper at home regimen & an in-office treatment plan. Out combination treatment plan will vary case to case but generally will include alpha beta peels, retinol peels and various laser technologies depending on if we need to treat the color vs. the texture of the scar. All of this can be set up with an in-depth consultation with one of our board certified dermatologists.

What peel would be good to remove these acne scars on my chest? (Photo)

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