Please advise me on the right course for this acne scarring. I am 37 years old and have had scars for around 13 yrs. (photo)
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Doctor Answers 5
Melapads, Hidef Acne Scar treatments
Multiple targeted acne scar treatments
All the bestDr Davin LimBrisbane, Australia
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
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Subcision Works Well For Boxcar & Rolling Scars; Microneedling Best For Surface Tone& Texture Problems
Microneedling is an excellent method in my experience, as a final step in the overall treatment plan for acne scars, for better blending the tone and texture of treated scars with the surrounding normal skin. I seldom rely on this technique alone for treating acne scars.
Subcision is an excellent and reliable method for for elevating boxcar and rolling scars as emphasized in a recent, February 2016, article in the peer-reviewed medical journal, Dermatologic Surgery. The addition of a lifting filler, such as Restylane Lyft, which I would use in my Upper East Side Manhattan practice or Hyaluronica 2, my choice in my Israel satellite facility where a far greater number of regulatory agency approved fillers are available helps not only contributes to immediate improvement, but provides a biostimulatory effect to promote additional new, native collagen and elastic fiber synthesis (neocollagenesis, neoelastogenesis).
I have not been impressed with relatively more expensive treatments, like the fraxels and other energy-based devices (IPL, radiofrequency or ultrasound). In my experience, the results with these are often subtle, inconsistent and variable, and they appear to be far more supported by device manufacturer marketing hype than hard science.
Be sure to seek consultation consultation and treatment with a board certified aesthetic physician. Best of luck.
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