Is there a particular order of treatments that one should follow in order to achieve maximum benefit/results? If one is treating ice pick, boxcar and rolling scars, what would the recommended order be for treatments, and how long should one wait in between each treatment? Treatments I’m considering include punch excision, punch extraction, subcision, TCA cross, microneedling & laser.
Answers (2)
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December 6, 2022
Answer: Acne Scarring -- Needs Combination of Subcision; Fillers Like Bellafill; Lasers Like Fraxel/Erbium/CO2; TCA Cross; Fractora RF
You must decide between surgical and non surgical options. Combination treatment using our HIDEF protocols can help improve redness, texture, topography, and contour. I would begin with scar modulation and vbeam laser followed by fractional laser.
Best,
Dr. Karamanoukian
Realself100 Surgeon
Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce...
I have developed a protocol to repigment hypopigmented scars if there are remaining melanocytes that are actice. Plasma laser is key.
Best,
Dr. Karamanoukian
Realself100 Surgeon
