Best treatment for my acne scars? (Photos)
Doctor Answers 6
Punch excision can substitute TCA CROSS for some scars....read more.
In you situation, TCA CROSS can be substituted for punch excise using a 1-2 mm punch device, depending on the size of the deep scars. You will also need an energy device such as laser or RF, and finally fillers for the atrophic scars.
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
Principles For Treating Acne Scars: Reflate Sunken Cheeks; Lift Indented Scars; Fill Pits: Blend Surface Tone & Texture
Therefore, a one-size-fits-all approach so often recommended these days to treat them, such as "fraxel lasers to take care of everything," simply does not make sense and can be expensive to boot. The same applies to a lot of other overly hyped devices, like microdermabrasion, radiofrequency, ultrasound and IPLs--all of which are backed far more by device manufacturer and physician marketing hype than any real, hard science.
On the other hand, some considerably less expensive approaches have been shown to be tried and true, including volumization with injectable volumizing fillers to reflate sinking cheeks; subcision with or without fillers to raise up indented (atrophic) scars; TCA CROSS to tighten pit (ice pick) scars; and fractional microneedle resurfacing (aka medical microneedling)) to blend surface color and textural irregularities. Punch grafting and punch excisions are occasionally of value for certain deep boxcar-type scars, however, these techniques are performed much less frequently these days than twenty years ago.
Seeking consultation and treatment by a board certified aesthetic physician with expertise and experience in treating all forms of acne scars, even if it means traveling out of your town, is strongly advised. Best of luck to you.
Many opinions and options for acne scars
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TCA CROSS and Laser
Best wishes, Shobhan.
Laser treatments for acne scars
The Affirm CO2 Fractional Laser is a micro ablative treatment with a wide-range of settings for “incredible flexibility”. For acne scarring, depending on scar depth, four to six sessions may be necessary, at two to three week intervals. Patients can expect anywhere from 60% to 80% clearance. There is probably two days of downtime with redness and swelling. However, the results are likely permanent.
The PicoSure laser is gentle on your skin, with minimal discomfort or downtime after treatments. PicoSure works by sending ultra-short pulses of laser energy into the outer and inner skin layers. This helps dermatologists effectively treat the outer skin, while the laser also stimulates collagen and elastin production within the inner skin layers. The PicoSure laser can be used to help treat acne scars through the following:
- Reduce damaged and scarred skin
- Reduce dark spots
- Shrink glands that produce oil
- Encourage collagen and elastin production
The best treatment for these acne scars would be a combination of fillers and lasers such as Fraxel. Please consult a cosmetic board certified dermatologist with experience with these advanced techniques. Best, Dr. Green
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.