Any suggestions for my acne scar? (photos)

My dermatologist suggested 6 sessions microneedling for my type of scars but not sure what would be the best option or if silicone fillers would help.

Doctor Answers 4

Acne Scars

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Micro needling will have little effect on your type of scars.  You should consider eMatrix laser combined with Sculptra or Bellafill injections for the scars.  Please consult an expert in scar treatments.  Best, Dr. Green

Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen

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Acne scarring requires a combination of treatments including lasers, microneedling/PRP, fillers.  6 sessions of microneedling alone will do very little.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Depends on your downtime and comfort levels

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Acne scar treatments often require a combination approach not only dependant on your scars and skin type, but also based on your comfort-levels and down-time.  A series of radio frequency needling treatments (I use the Infini) will likely improve your scars, as would a series of Fraxel 1550 or fractionated CO2 laser treatments.  These are all good, safe low downtime options.  If you have more recovery time, and an experienced specialist, heavy resurfacing with a combination of ablative Erbium:YAG laser and fractionated CO2 laser can provide spectacular results in one treatment, but requiring a 10-14 day recovery time.  Fillers can also be useful; we tend to use hyaluronic acid fillers in this setting.  See an experienced specialist who can talk you through your options.  Best wishes, Shobhan.

Multiple treatments for different scar types.

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Acne scar revision is a specialised field. For the best results, one should target the acne scar type with ideal treatments. For example deep ice pick scars, and narrow box car scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic scars treated with fractional devices such as Fraxel, fractional lasers, and INFINI radiofrequency. Atrophic scars (depressions) can be treated with either fat grafts, or with HA dermal fillers. Tethered and anchored scars are best treated with surgery.

The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. In your case, I personally would start off with INFINI micro needling RF, 2-3 sessions then re evaluate the remaining scars. 

All the best,
Dr Davin Lim
Laser, surgical & aesthetic dermatologist
Brisbane, Australia

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.