Will laser work to close the holes on the cheeks of the face? (Photos)

Question

Dear sir/madam by using the laser treatment holes can be covered or not?

Jason Emer, MD · Answer

with such dark skin youa re going to be limited to doing fractional radiofrequency microneedling (fractora) over lasers and you will need to do at home dermarolling, and peels like cosmelan and enlighten that we can send you now (see link to emeragecosmetics.com).  HOWEVER, you will need fillers and subcision in the office and the proper assessment by an EXPERT.
Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we already pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments.  Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

Unfortunately, closeup HD photos would be far more helpful in assessing the kinds of acne scars you have and what which treatment or combination of approaches would be best for you. What I can say is not to be so quick to fall prey to the heavy marketing for relatively expensive "bells and whistles" fraxel laser and other energy devices being hawked out there as the science to support their use generally lags far behind the marketing and advertising.  There are a number of relatively inexpensive treatments that have proven their worth in treating indented acne scars and stood the test of time. These include "field subcision" for treating larger atrophic areas, such as the cheeks and temples; individual subcisions for rolling and boxcar scars, TCA CROSS for ice pick scars and very enlarged pores;  and professional  microneedling for improving the overall color and texture of the treated areas and blending them better with the surrounding skin. So, a word to the wise: do your due diligence and don't just jump at this or that new "in" device. Make sure that you consult with a board certified physician and acne scar specialist. Best of luck to you.

Will laser work to close the holes on the cheeks of the face? (Photos)

Answers (2)

Recommended reading

Everything you need to know about CO2 Laser

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

Will laser work to close the holes on the cheeks of the face? (Photos)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about CO2 Laser

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