What would help my acne scars? (photos)

Question

19F The scars are at least 4 years old. I've had one round of Accutane which tamed my acne considerably. After that I've have 3 sessions of fractional CO2 all with a gap of a month and one of nano fractional CO2. (4 sessions total). But I've not seen much improvement. Moreover after being to 10+ doctors everyone gives varying opinions. Some say they're very deep some say they're okay. Some say subcision won't help and some say it'll help a lot. I am very confused, any help is greatly appreciated

Raffy Karamanoukian, MD, FACS · Answer

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

Donald B. Yoo, MD, FACS · Answer

Based on your photos, microneedling would yield a good cosmetic result as it can improve the quality, vibrancy, and texture of your skin. It effectively works for acne scarring and minimizing large pores. Results can be seen as soon as 1-2 weeks but may continue to improve over the next 6 months. It is important to research a medical provider or surgeon who would work closely with your aesthetic goals and to determine which treatment would work best for you. @drdonyoo

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

You have a few options.  Can Do Venus Viva with Sculptra also micro needling with PRP would be great.
Have a consult with a specialist!

Best of luck!

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