Which type of laser treatment would work best for my acne scars and textured skin? (photo)

Question

Textured skin on Hispanic. I've gone though 3 SkinPen treatments with prp.

Randal Haworth, MD, FACS · Answer

There are several types of laser treatments available for acne scars and textured skin. The best type of laser treatment for you depends on several factors, including the severity and type of your acne scars, your skin type, and your overall health.

Some commonly used laser treatments for acne scars include:

Fractional CO2 laser treatment: This treatment uses a carbon dioxide laser to create tiny holes in the skin, which stimulate the production of new collagen and help to improve the appearance of acne scars.
Pulsed-dye laser treatment: This treatment uses a special type of laser that targets blood vessels in the skin. It can help to reduce redness and improve the appearance of scars.
Erbium laser treatment: This treatment uses an erbium laser to remove the outer layer of the skin, which can help to smooth out acne scars and improve skin texture.
Nd:YAG laser treatment: This treatment uses a neodymium-doped yttrium aluminum garnet laser to target deeper layers of the skin. It can be effective for treating more severe acne scars.
It's important to consult with a dermatologist or other qualified healthcare professional to determine the best type of laser treatment for your acne scars and textured skin. They can evaluate your skin and recommend the most appropriate treatment based on your individual needs and goals.

Best of luck !

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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. ​"

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