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I recommend a combination of microneedling/prp, lasers (Erbium/Fraxel Laser, Excel V, Pulsed Dye Laser) or radiofrequency devices. I recommend you see an expert for a formal evaluation. Best, Dr. Emer
Hi Tina,Stretch marks signify a loss of the integrity of the connective fibers underneath. These may not be totally erased but can be diminished by IPL or Laser (such as Lumenis). Another treatment that is effective is microneedling with PRP. Topicals won't work.All the best, Justin Harper, M.D.
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...
The possibility of a photosensitive reaction with Spironolactone is approximately .12%. (very low) I would recommend doing a test in a non visible area first. Should this be negative, the chances are that you will not react. Starting and stopping spironolactone has risks and should be avoided ...
IPL, (intense pulsed LIGHT), can activate herpes simplex. I would recommend pre-treating for 2 days with an antiviral and continuing the medication for a least three days. In my opinion, the intense pulsed light should do well for the capillaries. Depressed scars usually do not respond to this...
This needs an in-person evaluation to determine the appropriate strength of treatment. Keep in mind, it may take a series of treatments. I always combine IPL with microneedling/prp to improve outcomes. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer
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