Will TCA cross and filler help? (Photo)

Question

Will tca cross 100% and fillers help?

Nelson Lee Novick, MD · Answer

At least from the one photo provided, there appear to be rolling and boxcar scars. Subcision can be used for elevating and smoothing these broaderbased scars. TCA CROSS is more appropriate for ice pick scars. Both techniques are quick, non-surgical, relatively inexpensive and have an excellent safety and efficacy record going back decades for use in all skin types. The results of both procedures tend to be long-lasting to permanent. I do not recommend the use of temporary fillers, since these would require repeated visits to the physician over the ensuring years. I do not recommend semi-permanent nor permanent fillers, since adverse reactions to these (which, especially with the latter, may appear immediately following treatment or five, ten or twenty+ years later) and are very difficult to treat. Exercise "buyer beware" caution if being hawked any of the expensive, supposedly "next big thing" fraxel laser or RF treatments, as these treatments are backed far more by marketing hype and social media buzz than hard science. You would be wise to make sure that you consult with a board certified cosmetic dermatologist.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Will TCA cross and filler help? (Photo)

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Will TCA cross and filler help? (Photo)

Answers (2)

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Everything you need to know about TCA Peel

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