DermaFrac vs Microneedling w/PRP, which is better?

Question

I'm a medium brown African American woman in my early 40's looking to erase fine lines, lighten acne scarring, and improve texture and tone. I was scheduled to get the eMatrix treatment but was advised against it due to my job (package delivery) exposing me to the sun all day. She suggested microneedling with PRP so I set an appointment, now I'm reading that DermaFrac maybe better, PLEASE HELP, I DON'T KNOW WHAT'S SAFE OR BETTER FOR MY SKIN!!

Jason Emer, MD · Answer

This is difficult to answer without pictures. Acne scars need a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  Best, Dr. Emer.

Matthew Richardson, MD · Answer

Many patients tend to get confused and overwhelmed by the many different brand names of various devices. Each device is different and can often do many different things depending on the operator and the patient. The important thing is to find a physician who specializes in facial aesthetic procedures and let them offer you their expertise to find a solution to your area of concern. Acne scars are a challenging problem, and there is no one cure-all for every patient. Treatment regimens need to be customized to achieve the best results, whether it is with fillers, microneedling, scar excision, chemical peels, laser resurfacing, or any other of a number of treatments. Be sure to see an expert.All the best,

Shaun Patel, MD · Answer

I prefer microneedling for acne scars in dark skinned individuals because of the decreased risk of hyperpigmentation but similar efficacy to fractional nonablative lasers with regards to acne scar improvement.

Aurora DeJuliis, MD · Answer

DermaFrac uses a roller system that opens channels in a very superficial fashion. Microneedling performed by a physician is a medical procedure and the depth is deeper than a roller. For this reason the results are better especially for acne scars when microneedling is performed.

Justin Harper, MD - Account Suspended · Answer

Hi Aisha Sparks, Colored skin is more sensitive to laser and hyperpigmentation and it's always best to have a test prior to committing to the procedure. In your case, there are issues that may or may not be satisfactorily addressed by laser or microneedling with PRP, effective as they are. It may not be a one-shot therapy. Scars to you may look alike but they are actually very different - some raised, some flat or pinprick. Long story short, this problem may need subcision surgery or fillers.As for sunscreen, whether you go for DermaFrac or microneedling,you still need sunscreen. Please go to a doctor who can break down for you what you need and give you proper expectations.All the best, Justin Harper, M.D.

DermaFrac vs Microneedling w/PRP, which is better?

Answers (5)

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