I've tried almost everything for acne scars...but it's not helped! Stubborn and deep scars (Photo)
Doctor Answers 5
Thank you for your question and photographs. You have had many treatments without much success. A modified TCA peel in combination with a simultaneous fractionated CO2 laser peel has given the best results in my hands. Not many physicians are doing this treatment. Fraxel alone is not enough to improved the scarring. Indian skin is perhaps the most difficult skin to treat, and is considered "complex", so you need to see someone who knows how to handle complex skin after peels.
Treatment of resistant acne scars with Bellafill and much more...
I am sorry to hear that you are frustrated with uneven skin and scarring from acne in spite of having all the procedures.
The acne scar treatments can be very challenging in spite of all the available modalities. I would suggest trying a series of simple subscision of the scars which can stimulate the collagen and is not very expensive, second option would be to try a series of microneedling cocktails of meso botox with PRP and HA fillers. Collagen fillers such as Bellafill are used for correction of atrophic acne scars. Sculptra is an other type of filler which can be used for acne scar treatment.TCA is useful for ice picked scars. You should protect your skin with broad spectrum sun block so that you can prevent hyper pigmentation and sun damage.
Dr. Jill Waibel, who is a renowned Miami based Dermatologist, has done an amazing research work on all types of scar treatments.
Acne scarring treatment
I believe the best is Infini for this. Subcision, PRP, Bellafill can also help. TCA Cross is mainly used for ice pick scarring. Keep in mind that scarring can not be completely reversed. Improvements can only be expected. Not all RF microneedling is the same. Infini is more powerful and deeper than most.
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Acne Scarring -- Requires Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Eclipse Micropen
This will require a series of treatments including TCA cross, peels, fillers and possibly laser treatments (clear + Brilliant, aerolase etc). I suggest a formal consultation. Best, Dr. Emer.
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A combination treatment would be best for you with injections of fillers into the deeper scars followed by the eMatrix laser in a series to help the irregularities. You also have many DPN's which need to be electrodessicated to make your skin smoother. Please consult an expert. Best, Dr. Green
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