Does Ematrix Work Better for Pitted Scarring Than More Shallow Scarring?

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

eMatrix uses sublative RF technology and works best on superficial scars. Best treatments are achieved with 3 scheduled sessions spaced 1 month apart. For best guidance regarding the classification of acne scars, search Google for 'classification of acne scars'.The advantage of eMatrix is that it spares the epidermis during sublative treatment of the dermis. 10% of acne scars are rolling scars, 70% are ice pick scars and 20% are boxed scars. 

EMatrix as well as other laser systems can improve acne scarring.  Both shallow and pitting or ice pick scarring can be improved.  It is recommended to be evaluated by a physician with an expertise in lasers

To answer your question, eMatrix can work on ALL scars, but in my experience, it works better on early scars, rolling scars and box car scars. For pitted scars, a simple procedure such as TCA CROSS can work better than super new RF technology or even lasers that cost over 100,000 dollars! The advantage of eMatrix over lasers, is that it 'spares' the epidermis or top layer of the skin and targets the bottom layer- where scars lie. Hope this helps, Dr Davin LimLaser Dermatologistacnespecialists.com.au

I have used the eMatrix for several years and originally got the technology to treat acne scarring. While it is helpful, it is better on more superficial scarring than deeper scarring. Even better overall is the Invasix Fractora technology, which I have found is much better for treating acne scarring than eMatrix particularly if the scarring is deeper or boxcar-like.

Thank you for your question.  eMatrix is a good option for acne scars and can be set on various ablation levels to acquire the appropriate depth for each patient's condition.  Many times if the scar is too deep I may use a soft tissue filler to plump up the area and even out the skin.

it is important that you seek the advice of a dermatologist or plastic surgeon prior to proceeding with any treatment.

Dr. M