I have deep acne scars. I am thinking of opting for Vivace RF microneedling. Is this a good option or not? (Photo)

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best,
Dr. Raffy Karamanoukian
Realself100 Surgeon

In our office we have great success wt Vivace for treating acne scars.  We recommend 3 to 5 treatments 30 days apart.  We also recommend that you use medical grade products to enhance your results.   Hope this is helpful  to you.  

Vivace RF microneedling can definitely help with your acne scarring.  Most people need multiple treatments, but I think it would be an excellent choice for you.

Thank you for your question and photos.  Treatment of acne scars takes a multi-modal approach with skincare, combination of filler and platelet rich plasma injections and combination of resurfacing procedures and topical platelet rich plasma . As far as the resurfacing procedure chosen, there is a spectrum of various devices that can be used. There are devices that are more forgiving for darker skin tone like Vivace. And there are devices that have significantly less downtime if any like Vivace. Having said that, if it is important to you not to have social downtime, then you can’t go wrong with choosing Vivace RF Microneedling for a series of gradual improvements 
Vivace is a very elegant treatment that has minimal to no downtime and discomfort, and delivers great results.  It is great for the treating acne scars.  The treatment is approximately 45-60 minutes for the face.  Treatments are performed every 2 weeks.  In my practice, I have customized Vivace Experience treatments for my clients to enhance their experience. The special customizations include using a special  numbing cream with ingredients that do not cause sensitivity and inflammation, adding PRP topically and via injection afterwards, and  special post care products that heal the skin rapidly.

Best Wishes,

Monica Bonakdar, MD

We have seen great results for acne scars using Vivace RF Microneedling and PRP. Multiple sessions are required and exfoliation between sessions might help your Vivace sessions to be more effective. You should have a consultation with a provider of Vivace to learn more about your options. You may want to investigave Bellafill injections for acne also.