I don't know what type of acne I have or what will help get my skin clear. Phenol peel? (Photo)

Question

I've had severe cystic acne I only get a few tiny pimples now but I still deal with these marks and ive tried alot! Vi peels, glycolic, home remedies, nothing really helps .maybe I need more than One peel but I need to know what I'm dealing with :( Phenol peel? Higher percentage peel? Help :(

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. 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 hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Luis A. Cenedese, MD, FACS · Answer

Phenol peels and fillers are two excellent choices for deep acne scars.
The phenol peel will remove layers of thickened skin surrounding the scars as well as stimulate new collagen production to raise the depths of the scars.  Localized Phenol is extremely effective in improving ice pick deep acne scars. A deep dermabrasion remains the gold standard for resurfacing acne.
Acne scars which have lost dermal fullness are greatly improved with fillers like Restylane and Juvederm as well as longer lasting solutions with  Bellafill and fat injections,
Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions

Peter Rullan, MD · Answer

your scars are typical with combination Box, ice pick and Rolling scars...you need combination Rx w Subcision, 2 day croton oil/phenol chemabrasion and fillers after 1-2 subcisions and one peel...you may also need something like accurate low dose for 30 days to control an acne flare up seen in peels for acne scars

I don't know what type of acne I have or what will help get my skin clear. Phenol peel? (Photo)

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I don't know what type of acne I have or what will help get my skin clear. Phenol peel? (Photo)

Answers (3)

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Everything you need to know about Phenol Peel

Our mission is to create a world where every investment in modern beauty is Worth It.