Will microneedling work on my pitted scars on my chin? (Photos)

Question

I have pitted type marks in two lines down each side of my chin, these just developed overnight over a year ago. I fill like nothing will fix them. I have seen people look at me oddly due to them. They Are very obvious and I really want to know why I went from a smooth mouth/chin area to now what looks like a strange looking chin. I have gotten fillers (half ml in both cheeks and in mid cheek area to lift the skin) and 6 units of Botox in chin for dimpling plus going for my 3rd Micro.

Douglas Wu, MD · Answer

Thank you for your question and images. Simple microneedling will probably not be strong enough to give you the best results.  However, a higher level technique known as radiofrequency microneedling could achieve the improvement you want. This procedure stimulates the body to produce more collagen in the dermal structure by combining microneedling with radiofrequency energy, smoothing and rejuvenating the skin from the inside out. Our office uses radiofrequency microneedling to create even more dramatic results for our patients. Choose a board-certified physician for your procedure that has extensive experience in skin rejuvenation treatments for the best possible outcome.

Raffy Karamanoukian, MD, FACS · Answer

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

Joshua Wall, MBBS · Answer

Hi there,

Thanks for the enquiry. Microneedling will certainly help with pitted scars. This works by creating microtrauma to the skins outer layers, which stimulates collagen renewal. Ideally you would have 5 treatments 1 month apart to allow time to heal between sessions. 
Other therapies you may find useful include fractional non-ablative laser (i.e. fraxel) or Co2 ablative skin resurfacing. These are perhaps more effective than microneedling, but can be more expensive.

Warmest regards,

Dr Josh Wall (Medical Director, Contour Clinics, Sydney)

Genevieve Allen, MD · Answer

Hello,
Microneedling will certainly help for pitted scars.  It will also improve the type of skin texture that is appearing on your chin.  I would suggest a series of 6 sessions that are placed 1 week apart.  
Best regards,
Dr. Allen

Davin Lim, MBBS, FACD - Account Suspended · Answer

Microneedling is certainly an option. You may require other treatments such as RF/ Laser/ Energy devices. This area is very hard to treat, and several treatments are required, depending on your expectations.Microneedling RF is an extension of microneedling with ‘energy’. Generation one devices such as Dermapen/ Skin Pen etc. use needles without heat to remodel collagen. Generation Two devices are microneedles that are not insulated, hence heat is delivered along the length of needles. Examples include Secret RF and Intensif. Generation Three devices use insulated needles to deliver heat at the point of the needle. Examples include Infini RF, as well as Genius. 
Newer generation devices will generally give better outcomes, however with insulation, the safety of microneedling RF devices is usually better than generation two machines. With insulation the incidence of skin colour darkening and ‘grids’ secondary to ‘stamping’ is less, however it is largely technique dependent. 
Microneedling RF should be viewed as a tool to be incorporated in the suitable clinical context. As with most other ‘fractional technology’ 3-5 sessions spaced 3-6 weeks apart will give the best results. Be guided by your specialist.  All the best, 
Dr Davin Lim and the team at Clinic Cutis
Brisbane. Australia.

Will microneedling work on my pitted scars on my chin? (Photos)

Answers (5)

Answer: Microneedling for pitted scars

Answer: Microneedling for pitted scars

Answer: Scars and treatments

Answer: Scars and treatments

Recommended reading

Everything you need to know about Microneedling

Our mission is to create a world where every investment in modern beauty is Worth It.

Will microneedling work on my pitted scars on my chin? (Photos)

Answers (5)

Answer: Microneedling for pitted scars

Answer: Microneedling for pitted scars

Answer: Scars and treatments

Answer: Scars and treatments

Browse related questions

Recommended reading

Everything you need to know about Microneedling

Our mission is to create a world where every investment in modern beauty is Worth It.