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Fraxel Dual or Fraxel Repair can help promote the deposition of new collagen to gradually fill in the indentations. Fraxel Repair, however, is not safe for every skin tone. So your dermatologist may recommend Fraxel Dual instead. However the use of fillers, such as Restylane or Radiesse can provide a more short term immediate improvement in the appearance of these scars. A combination of both would be ideal.
Thank you for providing the photograph, without which it would be difficult to dispense advice. personally, I would start with a filler, possibly with scar undermining. It is likely to be less expensive and more effective than the Fraxel IMHO. Punch excision with closure would likely be highly effective too. Good luck!
One of more aggressive laser resurfacing treatments with a fractional ablative laser or full field ablative laser would likely help but not completely erase the scars. The disadvantage is recovery time, the advantage is the change would be long-lasting or permanent. Filler with or without subcision (cutting under the scar with the tip of a needle to release the scar from adherence to the underlying surface) is usually a good place to start. Filler needs to be repeated as it is absorbable but some of the correction remains as the scar can't heal back down to the deep layers dues to the interposing filler.
Thank you for your picture. For these scars you would need a laser that treats the deeper part of the skin like a Fraxel restore or repair. The Dual is more for superficial areas. In addition, you might need some filler like a Juvederm or Restylane injection, which are absorbable or silicone, which is permanent. Dr. Halem
I have treated 100's of patients over the past 20 years for sebaceous hyperplasia. In my hands a single 10 to 20 minute treatment with a focused co2 /erbium laser will completely remove most lesions. It takes about one week to heal. Patients who have oily skin will...
To address all your concerns some combination treatment is recommended. First for the melasma, which is one of the hardest conditions to treat. i like to use a strong bleaching cream to be used every day. In addition, a sunscreen of at least SPF 30 or higher is needed everyday...
I agree with the other doctors on here that without a picture it is hard to give a definitive answer. Typically I use a combination of fractional CO2 laser and dermal filling agents to address lines under the eyes. Botox may also be used around and below the eye to further soften...