Is acne scars treatment and weight loss together safe? 19F

Question

19F, I am obese and in the process of losing weight. I also have acne scars from acne bec of PCOS. Is it okay to get treated for acne scars when you're losing weight? I presume that lasers and mnrf etc do have a healing time and idk how that is affected by a calorie deficit, and acne scar healing is just leveraging the bodies immune response. I don't want to make the scars worse. However, I would like to get the scars treated early as collagen just decreses with age. Thank you!

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

Jason Emer, MD · Answer

​Acne requires a combination approach to get long-term improvement. I recommend a combination of Cosmelan, salt facials, peels, lasers, microneedling with PRP, blue light, radiofrequency and isotretinoin. I suggest getting a formal evaluation with an expert. Best, Dr. Emer​

Is acne scars treatment and weight loss together safe? 19F

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