Which would you recommend; Dermapen vs. fractional laser for acne scarring? (photos)
Doctor Answers 6
Laser usually outperforms needling... here is why-
I have been performing scar revision for nearly a decade now, and before the use of fractional lasers such as Fraxel, Profractional and CO2 CORE, Active Fx etc... , I did use skin rolling, especially on darker skin types.
First of all I absolutely agree with Dr Rapaport with his answer- ALWAYS treat the SCAR and not find a treatment to suit you. This gives best results.
Lasers not only break down the scars (as do deep Dermapen), but also denature collagen via the use of heat, this controlled heat stimulates cells to lay down new, and fresh collagen, and hence in most cases out performs Dermapen. (Exceptions include v v dark skin, but then we have erbium for this). If you visit acnespecialists.com.au I may have some old photos of skin needling, but 99% of the time I use other lasers and procedures to get my scars sorted.
Why do we offer Dermapen then, if other treatments are better? It really comes down to pricing and what the patient wants. We thus cater for all budgets and needs, but best advice is always given first
Dr Davin Lim
Laser and cosmetic dermatologist
UPATE-As of Jan 2016, my provisional trials of INFINI RF MICRONEEDLING now makes this my favourite treatment for rolling, mixed, atrophic and tethered scars, as well as small to medium pores. I have started using this system in Sept 2015, and the results for these type of scars are great. This is not just micro needling but energy based micro needling
Dermapen vs Fraxel?
Large pores respond best to Fraxel erbium (restore). Combination therapy is often better than a single modality. ,
Hope that helps.
Fraxel Laser for Acne Scars
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Depends on your skin tone
Dermapen or Fractional Laser for Acne Scarring?
Lasers, mainly the fractional lasers as well as the fractional RF devices (eMatrix and soon the Venus Viva) as well as the fractionated RF microneedling devices like the EndyMed Intensif will all work on these acne scars that you show in your photo. Each one will have some downtime, more so when we talk about ablative fractional lasers, but the results with these for acne scars are proven and tried so I would find a physician in your area who does these, learn about them, and what the best option will be for you.
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