Will Getting Subcision + Fractional CO2 Laser + PRP + LED Help Improve Acne Scars? (pictures)

Question

Hello! I have acne scarring, the oldest scars are 1.2 years old and the youngest are 6 months old. I was offered the combinational treatment I mention in the title by a dermatologist, she stated that I'll need 3 sessions and she'll be using DEKA Smartxide Punto(Smartxide Tetra in the US), before the combinational treatment, she said I'll need neodimiun YAG laser treatment for the redness. What level of improvement can I expect? Is this combinational treatment suitable for my scars? Thanks!

Nelson Lee Novick, MD · Answer

Subcision for elevating and smoothing boxcar, rolling and saucer-shaped scars, has nearly three decades of safety and efficacy experience to support its use in all skin types. Likewise, TCA CROSS for ice pick scars and dilated pores has over twenty years of safety and efficacy experience to back its use. You might also profit from a final "polishing" step using professional microneedling to better blend any residual surface skin color or textural irregularities. On the other hand, all kinds of fancy named, "bells and whistles" fraxer lasers and RF devices are relative newcomers that have been rushed to market by their manufacturers in order to capitalize of their supposedly "next big thing" device, despite the fact that the science to support their use lags well behind the heavy marketing to promote them. Make sure to consult with an experienced cosmetic dermatologist with acne scar treatment expertise. Best of luck.

Raffy Karamanoukian, MD, FACS · Answer

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best, 
Dr. Raffy Karamanoukian
Realself100 Surgeon

Will Getting Subcision + Fractional CO2 Laser + PRP + LED Help Improve Acne Scars? (pictures)

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Will Getting Subcision + Fractional CO2 Laser + PRP + LED Help Improve Acne Scars? (pictures)

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Everything you need to know about Subcision

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