What is the best treatment for my acne scars? (Photo)
Doctor Answers 6
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
Severe acne scarring
Acne scar treatment
You have significant acne scarring with rolling scars due to both fibrosis (scar tissue deep down) and loss of underlying fat in areas (also from the inflammatory acne). Treatment is a process but in my opinion must involve more that surface treatments with lasers (or chemical peels). I prefer using Sculptra over temporary fillers, which I inject at the time of laser treament (I would prefer a series of Fraxel restore treatments at high settings for deep penetration). Multiple treatments with both the laser and Sculptra injections are indicated. I would be optimistic as significant improvement is what I would expect. Also adding some subscision before laser treatment is helpful to break up the scar tissue that partially tethers the rolling scars.
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Combning Multiple Modalities Best For Treating Severe Cystic Acne Scarring
It should seem obvious that a one-size-fits-all approach so often recommended these days to treat them, such as "fraxel lasers to take care of everything," simply does not make sense and can be expensive to boot. The same applies to a lot of other overly hyped devices, like microdermabrasion, radiofrequency, ultrasound and IPLs--all of which are backed far more by device manufacturer and physician marketing hype than any real, hard science.
On the other hand, some considerably less expensive approaches have been shown to be tried and true, including volumization with injectable volumizing fillers to reflate sunken cheeks, which figures quite prominently here; subcision with or without fillers to raise up indented (atrophic) scars; TCA CROSS to tighten pit (ice pick) scars; and fractional microneedle resurfacing (aka medical microneedling)) to blend surface color and textural irregularities. Punch grafting and punch excisions may also be of value for certain deep boxcar-type scars.To learn more about any of these techniques, check out the archives of RealSelf.com.
Seeking consultation and treatment by a board certified aesthetic physician with expertise and experience in treating all forms of acne scars is strongly advised. Best of luck to you.
Deep Acne Scars
You would benefit from a combination of fillers and laser treatments. You would need fillers for the deep scars and also to increase volume. Lasers such as Fraxel would help treat the textural damage from the scarring. Please consult an expert. Best, Dr. Green
Cystic Acne Scars and how to treat them
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