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You need a cosmetic dermatologist who specializes in acne scarring/pigmentation and does a combination of treatments including: surgery, subcision, or TCA cross for deep or pitted "ice pick" scars; fillers like Bellafill or Sculptra or Radiesse for broad "boxcar" or "rolling" scars; Eclipse Micropen for all types of scars and improvement in texture and tone; lasers such as co2 laser resurfacing or Fraxel/Clear+Brilliant or radiofrequency such as Venus Viva to improve the scars and give long term collagen production. There are many options but you want someone who can customize a regimen for your short and long term goals based on your individual situation. TCA cross and laser resurfacing can be done at the same time. Best, Dr. Emer.
TCA CROSS is ideal for DEEP scars, for example ice pick scars, however it can be used on narrow box car scars. Generally after 3 TCA CROSS treatments, you would only require one fully ablative laser. This is not the absolute rule, as it also depends on your downtime, and skin type. BestDr Davin Lim Laser and aesthetic dermatologistBrisbane, Australia.
At our practice we recommend VI Peel which is FDA Approved for all skin types. The main active ingredients are TCA, Phenol and Retinoic Acid which is safe for all skin types. Typically, patients with skin types IV-VI respond positively to 4% Hydroquinone therapy before and after...
Thank you for your question. Darkening of the skin and a crust like scabbing is to be expected and will most likely slough off in patches. The application does look a little uneven but should all even out in time. Folow post instructions and follow up with the office that performed your...
Hypopigmentation is very difficult to treat, but possible. I would suggest some light chemical peels, directed fractional laser, and topical skincare to help even out the color and texture. Best, Dr. Karamanoukian Los Angeles
