I know there are so many procedures out there for acne scarring but how do I choose the right one? (Photos)

I have had C02 Laser and it helped some but I want to get something else done just afraid to choose wrong... I am tired of seeing these scars everyday! I need improvement. I'm actually posting pictures which is really hard for me to do....Help!! Any advice!!!

Doctor Answers 4

There are procedures that work for acne scars

There is volume loss with many of these scars and that requires volume. The only FDA approved filler for acne scars is Bellafill. This will help with the deeper scars. To improve the fine scars, Infini is helpful. I have tried the CO2 and Fraxel for these and haven't had as good results as Infini. Microneedling is helpful but requires about 8-10 to equal what Infini offers. I think the best single procedure for you is the Bellafill.

Panama City Facial Plastic Surgeon
4.6 out of 5 stars 27 reviews

The hammer and the nail

As you know, those who have a hammer see the world as a nail. The problem is that they have the wrong hammer. 

People, like you, who have broad, deep scars will receive NO benefit from laser, chemical, needling, PRP, or any other treatments that attempts to correct this from above. 

Your problem is a loss of dermis and subcutaneous fat from the time you had the infection.

You can either have many of these EXCISED ( cut out) - by a plastic surgeon who has the technique and understanding for how to place "elective incisions", or by SUBCISION (surgically released from below) and fat/stem cells placed in the space beneath the scar in order to fill it.\

Best wishes to you

Richard Sadove, MD
Gainesville Plastic Surgeon
4.8 out of 5 stars 19 reviews

Choosing the Right Treatment for Acne Scar

Hi and thank you for sharing your question here! As you said, there quite a few options for treating acne scars, and each treatment offers some advantages and disadvantages that need to be weighed carefully. To name a few, we commonly consider fractional CO2 lasers, microneedling (with or without PRP), chemical and laser peels, dermabrasion, and even filler injections for acne scars depending on their shape, depth and extent. From the picture that you posted, some of your acne scars appear to be pretty deep and pitted and they might need some help from dermal fillers to fill the depth of the scars. We have verity of choices of fillers from shorter-lasting hyaluronic acid filler such as Juvederm to semi-permanent fillers such as Bellafill that can be considered. For other areas, CO2 laser can be helpful. Please remember that for best results, several laser sessions might be needed. I hope it helps and good luck!


Elham Jafari, MD
Irvine Physician
4.9 out of 5 stars 17 reviews

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The Acne Scar Saviors--Acne Scars Treatment: Lasers, Fillers, Microneedling/PRP

A combination approach and a series of treatments is needed to give improvements in acne scarring. I recommend lasers, microneedling/prp, subcision and fillers. I recommend getting a formal consultation with an acne scarring expert.  Intensif microneedling RF may be best for you now.  Best, Dr. Emer

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