RF Microneedling, subcision and filler.
Hard to say without angled lighting and close examination, see video for my logical pick of these 3 combinations. Like Dr Weiner 3-4 INFINI RF is my pick as first line, then subcision combined with filler - either Bellafill or Juvederm.
Acne scar revision is a
specialised field. For the best results, one should target the acne scar type
with ideal treatments. For example deep ice pick scars, and narrow box car
scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic
scars treated with fractional devices such as Fraxel, fractional lasers, and
INFINI radiofrequency. Atrophic scars (depressions) can be treated with either
fat grafts, or with HA dermal fillers. Tethered and anchored scars are best
treated with surgery.
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
All the best,
Dr Davin Lim
Laser, surgical &
Acne Scars – Combination of Treatments Needed
The best treatment for acne scars depends upon an
individual’s skin type, age, ethnicity, sun exposure, overall health and most
importantly, the type of acne scars present (ice pick scars, boxcar scars,
rolling scars, hypertrophic scars and variable degrees of hyperpigmentation).
In order to give you an accurate treatment plan, a consultation is required to
properly assess your skin.
An important step for all skin types is sun protection
including the use of daily sunscreen, sun hats and sunglasses, all of which
help prevent aging and sunburns.
When it comes to acne scar treatments, a combination of
treatments are available including cosmeceuticals (medical grade skin care
products specific for acne including ZO® Skin Health or ZO® Medical,
Skinceuticals® or Glo-Minerals®), advanced laser resurfacing procedures (CO2
laser, Er:YAG laser, Fraxel DUAL®, PicoSure® FOCUS Lens Array), chemical peels
(light, medium, deep including the blue peel), dermabrasion,
augmentation/fillers, excision and/or subcision, punch techniques,
microneedling/rolling, injections (corticosteroids, 5-FU), cryosurgery,
electrodesiccation and microdermabrasion.
These are advanced techniques so be sure to get an
experienced dermatologist or plastic surgeon consultation for recommendations
and treatment options.
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
there are so many acne scar treatments, so a combination therapy is always best. I suggest seeing an expert for treat.
I think a combination of Bellafill and the Infini is a good choice. Deeper scars need volume whereas the more superficial scars should improve with just the Infini. I would do 3-4 Infini and add some Bellafill. Please see the link.
Best Treatment for Acne Scars
It appears from your photo that you would benefit both from skin resurfacing from Fraxel or ematrix and fillers such as Sculptra since you have lost volume from the scars over time. Please consult an expert. Best, Dr. Green
Treatments for acne scars
There are many approaches to correcting acne scars and typically a treatment plan as opposed to a single device is needed. The best advice is to consult with a qualified physician for evaluation but I would start by assessing for distensibility of the scars and presence of ice-pick scars. Ice-pick scars need to be subcised to get any acceptable improvement followed by a filler or device. Resurfacing can be performed with peels, lasers, or radiofrequency and depends on many factors including severity of acne scars, skin type etc. I have had good results with radiofrequency, specifically a device called Infini. Works well and good for all skin types. A consultation will help you determine a tailored plan best suited for your needs. Good luck.
Payman Kosari, MD, FAAD
Liliana you would definitely see improvement with combination IPL and nonablative fractional laser treatments.