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Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring. Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.Best, Dr. KaramanoukianRealself100 Surgeon
Fraxel is the best laser to correct scars on your face. The 1550 wavelegnth is ideally suited to reduce acne scars and provide all over facial rejuvenation. Keratosis Pilaris is a form of eczema and a laser is not the best treatment for this condition. Please consult a board certified physician with experience in lasers for the best results.
Fraxel can help to smoothen and rejuvenate the skin that can be rough and uneven with keratosis pilaris. A better treatment option for keratosis pilaris are pulsed dye lasers such as VBeam. VBeam is very effective for the redness and bumps associated with keratosis pilaris.
Laser resurfacing treatments shouldn’t be avoided due to ahistory of skin cancer in the family. If anything, the opposite is true.Fraxel® physically removes the surface skin cells that are most exposed toaccumulated sun damage, and therefore more likely to become cancerous overtime. Laser re...
Typically, deep acne scaring requires aggressive settings, meaning high energy settings and greater density to get more dramatic effects, and while you do have darker skin tones this wavelength is well tolerated. A combination of lower and higher settings may also benefit to target at di...
Asingle session of Fraxel® is likely inadequate for treating acne scars. I’vefound in my own practice that several treatments spaced about a month aparthave the most effective results on acne scars. Certainly after two months, youare over the initial healing from your first session. If yo...
