What is the best cream to put in after a TCA cross and microneedling treatment? Can differin be used?

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

In my office, we do all our micro-needling treatments using the ProCell Therapies system which contains serums that are specially made for this purpose, containing high concentrations of growth factors derived from human bone marrow stem cells which are anti-inflammatory. These serums are used during and after the procedure. This causes more rapid healing with significantly less inflammation post procedure. Stem cells secrete growth factors and cytokines that modulate inflammation downward while providing pro-healing bio-signals. There is accumulating evidence that downtime, inflammation, swelling and discomfort are all reduced using bone marrow derived cytokine products.Differin cream should not be used until the areas have healed and there are no signs of inflammation.