How can I treat the pimples and holes on my face? (Photo)
Doctor Answers 7
Acne scar treatments in Los Angeles
Pimples and scars
The first step with any acne-related skin problem is to control the acne as much as possible and reduce any further scarring or inflammation. The acne scars can then be treated through various techniques including laser skin resurfacing, chemical peels, dermabrasion, fillers injections, excision, and others. With deep and wide acne scars as seen in the attached photo, superficial and non-invasive treatments are unlikely to result in much improvement. More aggressive treatments like dermabrasion tend to be better options, but do have risks such as hypopigmentation.
A consultation with a physician specializing in facial aesthetics can be very helpful to review all of the options in detail.
All the best,
Acne Scar treatment in darker skin
1. First, start on topical Retin-A to start improving cell turnover and collagen deposition and use this for at least 3 weeks before doing the below. Once the treatments are finished, restart Retin-A (have to use Retin-A in the evening followed by a good medical sunblock the next morning).
2. Next, surgically excise the deep ice pick scars; this can be done in the office under local...don't have to do all of these at the same time but the sooner you do it, the sooner you can move to the next step..
3. Then, add Bellafill with a combination of subcision (most doctors who do Bellafill usually do subcision at the same time). Technically speaking, you can start this with the surgical excision sessions.
4. About 6-8 weeks later, start professional dermapen (microneedling) and have at least 5-6 sessions.
The above combination can give you almost a 60-70% improvement (sometime more) in overall acne scarring. Not everybody needs every treatment, and sometimes, Sculptra or Fat transfer can be used instead of Bellafill but this depends on the examination of the acne scars. Find a plastic surgeon who offers all of the above and talk to him or her about the best treatment plan for you.
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Acne Scar Revision for Rolling and Boxcar Scars
You have rolling and boxcar scars (superficial and deep), which would respond to a combination of treatments such as subcision/ microneedling/ fractional Carbon dioxide laser with/without TCA CROSS. PRP may bea useful adjunct. In short, many modalities are available to address the type of scars that you have - your doctor would suggest a protocol based on his/ her experience. It may take anywhere between 2- 8 months for the results to be visible.
Acne scar treatment
Good treatment options for acne scars and discoloration can include lasers (traditional or fractional), dermabrasion (not mircrodermabrasion which would be a waste of money) and deep chemical peels. You have to be careful when using traditional lasers (CO2) and deep chemical peels and dermabrasion on dark skin types (like Asian skin) as they have a higher risk for uneven pigmentation and post- inflammatory hyper- pigmentation. Fractional lasers have less risks for uneven pigmentation, especially for darker skin types (Hispanics, Asians). Tissue fillers (Juvederm, Restylane, ect.) can often give instant improvement for superficially depressed acne scars that are not too tethered down. They are less expensive but are a temporary fix and have to be re-injected. IPL (intense pulsed light) can be especially good for discoloration (red and dark) as that is one of it's primary indications, is very affordable and involves little down time with the least amount of risks (multiple treatments are required). IPL is also great for large pores and oily skin. It is also safer on darker/ Asian type skin and has less risks for hyper- pigmentation than laser and chemical peels. It is not a stand alone procedure for deep acne scars as you would still have to do one or more of the other treatment modalities. I would recommend you see a board certified physician who has a lot of experience using these treatment modalities to assess your needs, discuss the advantages and disadvantages and risks and to recommend the ideal procedure for you. Best wishes.
Severe acne scarring needs Inifini, Bellafill, and maybe PRP
Acne and Scars and Best Treatment
The photo shows the deep scars and recurrent acne that you are experiencing. Many patients suffer from acne and scarring and need the correct treatment. You may require oral antibiotics or even Accutane to stop such recurrent acne. After the acne is under control you can consult about lasers for the scars such as Fraxel or eMatrix. It may take a combination of lasers to best treat this condition. Please consult a board certified dermatologist with a great deal of experience to best help you.