Would microneedling be my best option for large pores, dull, rough texture and acne scarring? (Photo)

Hi @Tiffany280! I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck, Dr. Nima!

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 hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of acne 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 acne scars and indented acne 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 acne 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

The purpose of microneedling is to help generate new skin tissue and stimulate new
collagen production. If you are struggling with acne scarring, adding PRF to your
microneedling treatment is a great option for you. PRF will help your skin heal and
regenerate quicker by restoring growth factors in the skin and adding even more benefit
to the collagen stimulation. Adding PRF to your treatment will rejuvenate dull skin and
improve texture further than just microneedling alone. Along with the microneedling
treatment, injecting PRF under the skin using a cannula technique will provide even
greater benefits as we are able to distribute the benefits of PRF into the different planes
of tissues. Going forward, I would recommend you to complete multiple in office
consultations with board certified experts to discuss your aesthetic goals. This way,
they can work alongside you to determine your best treatment option.
Best of luck,
Kian Karimi MD, FACS