Which treatment is recommended for my acne scars? (Photo)

I would like to know if there is something that I can do to look fine, I had cystic acne but I did not have scars, suddenly 4 years ago my face got all these scars, I can't use make up to camouflage because are deep holes, I hope I can find a Solution not very expensive, can someome give an idea?

Doctor Answers 7

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 your scars.
All the best,
Dr Davin Lim
Laser, surgical & aesthetic dermatologist
Brisbane, Australia


Brisbane Dermatologist
4.7 out of 5 stars 61 reviews

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.

Alim R. Devani, MD, FRCPC
Calgary Dermatologist
5.0 out of 5 stars 10 reviews

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.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 165 reviews

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Acne scar treatment

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.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
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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.

Best,
Payman Kosari, MD, FAAD  

Payman Kosari, MD, FAAD
Charlotte Dermatologic Surgeon
5.0 out of 5 stars 15 reviews

IPL and fractional laser

Liliana you would definitely see improvement with combination IPL and nonablative fractional laser treatments. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.