Is Microneedling effective on trauma scars or is it designed more for acne scars?

Yes, microneedling can be used for scars, but a combination approach will give the most improvement. Scars can be improved with can be treated with vascular laser like yellow laser or excel v when its red and co2 spot treatment, microneedling/prp, fillers and subcision to help texture and blending. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer

Thank you for your question. While microneedling can be effective on trauma scars, the success depends on several factors. The only way to find the best scar revision for YOUR scar is to schedule a consultation with a board certified facial plastic surgeon. They can examine your scar and offer the right procedure or combination of procedures that will offer you the results you desire. Good luck!

Yes, microneedling can be used to treat scars, including chicken pox, acne and traumatic scaring. The key is NOT to worsen the scar-  so I do not treat patients with a history of hypertrophic, keloid, or spontaneous scars .History taking is vitally important prior to revision. Also is the scars are hard, I do add steroid or 5FU- PRP to the mix. If there are contractors, Botox with microneedling in the correct context and anatomy can help. Wishing you well, Dr Isobel Walker. Brisbane. Australia. 

The the answer is yes! Microneedling is a great method to improve upon traumatic as well as acne scarring. It all depends on the type of scarring you have. You may require subcision as well as some additional work with lasers to improve the final appearance of a traumatic scar. In most cases micro-needling can be a great start and give you great results. Bestfrom Boston,  Dr. Onir

The truth is this- specialist evaluate YOUR type of traumatic scar to come up with a solution, in your case it maybe microneedling that gives the best outcomes. In other cases subcsion, some do best with fillers, and others with surgical intervention. A real time assessment with a dermatological surgeon or plastics can guide you. 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.