Please describe a treatment plan for these scars. I believe they are all rolling. (photos)
Doctor Answers 4
Subscision, filler, microneedling, PRP, multiple treatments
These are hard scars to revise- you have atrophic, rolling, tethered and mixed acne scars. You will need multiple treatments over many months including surgical subscision, fillers, possibly fat grafting, and microneedling PRP. Realistically expect a 50% overall improvement over 4-6 months. All the best, Dr Davin Lim.
I Would recommend a combination of filler and laser. Fat grafting can fill the defects and last a very long time. At the same time, consider non-ablative erbium glass resurfacing. I use the laser named ResurFx.
Acne Scars Post Accutane
A combination approach will yield the best results. Fillers like Bellafill, Sculptra or Radiesse are good for "rolling" scars. The Eclipse Micropen is also good because it improves texture and tone. Also combining lasers (co2 laser resurfacing, Fraxel/Clear+Brilliant) with radiofrequency treatments (Viva) can also help improve the scars and give long term collagen production. Don't let distance dissuade you, see an expert. Best, Dr. Emer
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