I've had one INFINI treatment with little to no results. I plan to continue with microneedling (maybe just regular) but I need a treatment beforehand to enhance my results. I want these scars on my left cheek GONE. I've read and seen great results with subcision and TCA cross. Every dermatologist tells me different things and can't even agree on what type of scars these are. Are they too small for subcision (they are not large, wide, rolling scars)? Are they not deep enough for TCA Cross?
May 18, 2016
Answer: Acne scars When treating with infini, typically you need a series of treatments... so I would not exhaust that possibility from just one treatment.There are other laser modalities you can try including fractionated lasers (ablative and non ablative) as well as picosecond lasers.Based on the pictures, I would categorize the scarring as ice pick scars. TCA cross is a great option, but multiple treatments are needed.I do not think you have rolling scars based on the close up picture you provided. Therefore, I do not think you would respond to subcision.It may be more helpful to see a dermatologist specializing in acne and laser surgery for consultation.I hope this helps.
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May 18, 2016
Answer: Acne scars When treating with infini, typically you need a series of treatments... so I would not exhaust that possibility from just one treatment.There are other laser modalities you can try including fractionated lasers (ablative and non ablative) as well as picosecond lasers.Based on the pictures, I would categorize the scarring as ice pick scars. TCA cross is a great option, but multiple treatments are needed.I do not think you have rolling scars based on the close up picture you provided. Therefore, I do not think you would respond to subcision.It may be more helpful to see a dermatologist specializing in acne and laser surgery for consultation.I hope this helps.
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March 24, 2019
Answer: Acne scar classification and treatments You are indeed correct, there is no one universal method to classify acne scar types. Some classify according to Goodman scale ( different grades visible at certain distances, but this does not consider angled light), some classify according to scar count, whilst others classify according to subtype- box car, ice pick, rolling etc... Bottom line- almost everyone will have a mixture of scar types. See video below for how to examine and best target your scars. For the best results, one should target the acne scar type with ideal treatments. For example deep ice pick scars, and narrow box car scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic scars treated with fractional devices such as Fraxel, fractional lasers, and INFINI radiofrequency. Atrophic scars (depressions) can be treated with either fat grafts, or with HA dermal fillers. Tethered and anchored scars are best treated with surgery. The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. All the best, Dr Davin Lim Laser, surgical & aesthetic dermatologist Brisbane, Australia
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March 24, 2019
Answer: Acne scar classification and treatments You are indeed correct, there is no one universal method to classify acne scar types. Some classify according to Goodman scale ( different grades visible at certain distances, but this does not consider angled light), some classify according to scar count, whilst others classify according to subtype- box car, ice pick, rolling etc... Bottom line- almost everyone will have a mixture of scar types. See video below for how to examine and best target your scars. For the best results, one should target the acne scar type with ideal treatments. For example deep ice pick scars, and narrow box car scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic scars treated with fractional devices such as Fraxel, fractional lasers, and INFINI radiofrequency. Atrophic scars (depressions) can be treated with either fat grafts, or with HA dermal fillers. Tethered and anchored scars are best treated with surgery. The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. All the best, Dr Davin Lim Laser, surgical & aesthetic dermatologist Brisbane, Australia
Helpful 3 people found this helpful