Can I get Fraxel Dual, subcision and filler in the same session? (Photos)

Question

When asking my dermatologist if I can get Fraxel Dual, filler and subcision in the same session, she told me no. They have to be 4 weeks apart each. She then stated its too aggressive for one session and will not even perform Subcision and Filler in the same session. Is she correct on this or being overly precautions? What can a client (me) get in the same session for rolling acne scars and what would they start with first?

Jason Emer, MD · Answer

​Acne scars need a combination approach for long-term improvement. Everyone has a unique pattern of acne scarring, and most people have various types of scars, so we create a tailored treatment plan for each patient. We often use:
- Injectable fillers like Bellafill and Sculptra (with or without subcision) for atrophic, indented scars. 
- Subcision for depressed, tethered scars. 
- Vascular lasers like Yellow laser, Aerolase, excel V, BBL, or IPL for redness or thick acne scars. 
- Lasers such as Fraxel, Erbium, CO2, Halo or fractional radiofrequency (Venus Viva, Skinfinity, Morpheus, PiXel8, Fractora, Intensif microneedling RF) for textural issues and superficial scarring. 
- TCA CROSS and punch excision for deep ice pick scars and narrow box car scars.

All lasers are combined with microneedling/PRP to improve the results and accelerate your healing time. Keep in mind that a personalized combination treatment by an expert physician will give you the improvement you're looking for. I recommend getting a formal evaluation with an experienced cosmetic dermatologist and acne scarring expert. Best, Dr. Emer. ​

H. George Brennan, MD, FACS - Account Suspended · Answer

Sounds like your getting excellent advise from an ethical dermatologist.  You would be best served in correcting your condition in a systematic progressive manner.  You don't want to get too cavalier which might back fire and come back to haunt you.

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