Acne scar treatment - will CO2 laser be a good procedure? (Photo)

Question

Hello myself Bijay I'm 24 year old can I do co2 treatment it is good for scar mark please suggest me i humble request to you

Nelson Lee Novick, MD · Answer

Unfortunately, the photo provided does not clearly show the kinds of acne scars present. 
However, generally speaking, for ice pick scars and dilated pores consider TCA CROSS. 
For boxcar and rolling scars, consider individual subcisions.
For widespread acne-related cheek and/or temple atrophy, consider a Field Subcision.
For acne-related residual color or texture irregularities, consider professionally performed manual microneedling (no need for the added expense and risks of RF microneedling) along with the addition of Rx topical agents. 
Be very skeptical of the heavily marketed and heavily social media promoted expensive bells and whistles treatments, such as fraxel lasers and RF devices, etc. since, unfortunately, the hard science to back up the use of these gizmos lags well behind all the hype. So, "buyer beware" when it comes to considering these. 
You would be wise to consult with an experienced, board certified cosmetic dermatologist scar treatment specialist. Hope this helps and best of luck.

Raffy Karamanoukian, MD, FACS - Account Suspended · 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

Best, 
Dr. Raffy Karamanoukian
Realself100 Surgeon

Acne scar treatment - will CO2 laser be a good procedure? (Photo)

Answers (2)

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