What treatment to use for acne scars/hyperpigmentation? (photos)
Doctor Answers 4
Red acne scars
Acne Scar Treatment Follows Acne Control
Severe acne can be indicative of a hormonal imbalance, so I would encourage you to see a specialist (endocrinologist will be able to help greatly in this area). Also, some medications can cause acne, so be sure your physician is aware of any prescription medications you may be taking.
Acne control of this severity can usually be controlled with isotrenioin (Accutane name reference). Photodynamic therapy could be an alternate option if you are considering pregnancy. Short term use of oral antibiotics as well as a topical RX can be used in achieving calmer skin.
Once your acne is controlled, you may see some relief of redness with pulsed dye lasers which seal expanded and broken capillaries. Skin smoothing systems such as Fraxel or Fractora or other fractional devices are helpful in treating depressed scars, but I would wait until your acne is fully controlled and the redness has been treated.
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
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First I would get your acne under better control. I would consult a dermatologist who specializes in acne and scars to find out if your acne is hormonally based or is it from other reasons. Then after your acne issue is addressed you should have your scars treated with a combination of modalities. Fraxel, V-Beam, eMatrix, and PRP with microneedling all are effective depending on the scars. Pigmentation is best addressed with topical creams and chemical peels. Please consult an expert. Best, Dr. Green