Should I do bbl laser before RF micro needling with stem cells therapy and co2 laser? (photo)

Question

I have been suffering from adult acne for the last 8 years, it's getting worse every year. Recently I had a consultation and the doctor recommended RF micro needling with stem cell therapy in combination with CO2 laser at the same time. My concern is the acne is still active and after getting the therapy I might still have acne. I've heard BBL laser can treat acne should I have BBL laser before the therapy mentioned above? All answers are appreciated thank you!

Jason Emer, MD · Answer

you need treatment for active acne -- Isotretinoin would be very useful. then you should do treatment with vbeam or bbl combined with lasers like halo. co2 can be done once the active acne is improved.
Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we alreayd pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments.  Best, Dr. Emer.

Jean M. Casello, MD · Answer

It is important to calm the acne down before addressing the scars.  Microneedling/RF and CO2 are helpful for treating the scars.  You should discuss treatments such as accutane (topical or oral) , light based treatment and pharmaceuticals with your physician.  Pico laser (lumenis PiOQ4) can be used to target the sebaceous glands and does a nice job of treating active acne.

Jason Pozner, MD · Answer

You need to calm down the acne prior to aggressive scar treatment. See an experienced dermatologist with acne and device experience. Joel Cohen in Denver would be my first choice in your area

Should I do bbl laser before RF micro needling with stem cells therapy and co2 laser? (photo)

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Should I do bbl laser before RF micro needling with stem cells therapy and co2 laser? (photo)

Answers (3)

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Everything you need to know about BroadBand Light (BBL)

Our mission is to create a world where every investment in modern beauty is Worth It.