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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
While on Accutane it is safe to go for a facial and have extractions. However, I would advise visiting a licensed esthetician to ensure that the treatments remain safe. Accutane can make your skin more sensitive and susceptible to scarring.
Facials with extractions are fine to do while on Accutane as long as the esthetician helping you is GENTLE. You do not want to be too aggressive, as over zealous extractions could lead to scarring.
A facial can be helpful for the removal of stubborn blackheads while on Accutane. In fact, as Accutane loosens these plugs they may slide out more easily. That being said, make sure whoever removes then understands the effects of Accutane on the skin. Your skin will be more fragile on Accutane. Go to someone used to working on people on this medication.
be careful who you see as your skin will have impaired wound healing so they should not be very aggressive with the treatment. but generally you should have no problems. Cheers