Can my deep acne scar ever return to normal? Looking for a permanent solution (Photo)

Question

I have an deep acne scar what permanent solution would work best for me?

Nelson Lee Novick, MD · Answer

Unfortunately, the photo lacks sharpness, so it is difficult to say whether there are any boxcar or rolling scars on the cheeks. If so, subcision would be a simple, relatively inexpensive technique for elevating and smoothing them. If the ice pick scar at the center of the top of the nose is the issue, then TCA CROSS, another simple and relatively inexpensive technqiue, is the preferred treatment for ice pick scars and dilated pores. You will no doubt be hawked, expensive "bells and whistles" fraxel laser or RF microneedling treatments. So, exercise a great deal of "buyer beware" caution when evaluating these. Remember, the simplest solutions are often the best solutions. You would be wise to consult with a board certified cosmetic dermatologist scar specialist and best of luck.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Darryl J. Blinski, MD · Answer

No permanent solution available yet. New injection just for skin boosting called SkinVive from Juvederm . I think this might improve the appearance. Need 2-4 syringes. Call for fees. Or virtual consult with.....

Can my deep acne scar ever return to normal? Looking for a permanent solution (Photo)

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