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Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. 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
Thanks for your question. Without any photos it's difficult to give a specific recommendation. However, a scar treatment plan can include utilizing lasers to address the pigmentation and texture as well as topical skin lightening creams. Additionally, micro needling which stimulates the body's own collagen to tighten lift and rejuvenate skin can improve the area as well. A surgical approach involves having a scar revision which would potentially create a less visible scar. A thorough exam of the scar is recommended in order too know what will be the best treatment option for you.
Consult with a board certified plastic surgeon for an in person evaluation. You may need the scars excised and monitored scar management.