i have acne scars on my face. What's the best treatment? (Photo)
Doctor Answers 4
Acne Scars On Face
Acne Scars Respond Best To A Combination of Treatments Tailored To The Kinds Of Scars Present
For example when extensive acne scarring of the face leads to a more sunken look to the cheeks, the mid-face and cheeks may be plumped, lifted and stretched (and the scarred skin secondarily smoothed) with a technique that uses volumizing fillers, known as The Nonsurgical 3D Vectoring Facelift.
Following this, subcision can be used to further lift and smooth remaining depressed, atrophic scars. In general I would additionally inject a a biostimulatory volumizing agent, such as Radiesse combined with Perlane L (in my Upper East Side Manhattan office and Radiesse combined with Restylane SQ in my Israel satellite facility where a far greater number of regulatory agency approved injectable fillers and volumizers are available). The addition of the volumizer not only yields immediate cosmetic improvement, but promotes new native collagen synthesis (neocollagenesis).
Following the above, medical microneedling (aka fractional microneedle resurfacing or needle dermabrasion) may be appropriate. Although you state that you have already undergone eight dermarolling treatments with only some benefit, it would be important to find out precisely what needle depth was chosen and how many passes were performed. Deeper acne scars, as seem to be the case here, would best respond in my opinion to a electric microneedle treatment with the Dermapen device, using a 2.5 needle length and rapid speed setting, and at least two aggressive passes per area per treatment session.
For more information on any of the above treatments, check out the archives of Realself.com.
It is important that you seek consultation by a board certified aesthetic core physician with extensive experience and expertise in treating acne scars. Make sure to ask to see his/her befores and afters.
Acne scars and best treatment
Treating acne scars depends on how deep your scars are and the type of skin type that you have. In your case the eMatrix laser would probably be the best laser for you. Fraxel is a fabulous laser but it can only be used for scars in very fair skin otherwise there is a risk of hyperpigmentation. Please consult a board certified dermatologist with extensive experience in acne scars for the best treatment results.
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Start with Resurfacing.
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