Skin laxity and hyperpigmentation - would Microneedling with PRX-T33 be effective for me? (photo)

Question

Im 50 and have sslaxity skin with hyper pigmentation due to years of sun exposure Would like to know if 4 sessions of prxt33 microneedling at .3 every 2weeks would be effective or is there anything else to do to trigger these skin conditions Thank you

Raffy Karamanoukian, MD, FACS · Answer

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. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

​Hyperpigmentation of any kind needs a combination approach of peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly,; lasers like Clear + Brilliant, Aerolase or Laser Genesis; radiofrequency like Venus Viva; and constant skin care and sun protection. Bimonthly facials with SilkPeel DermalInfusion are essential to hydrate, exfoliate and infuse vitamins and antioxidants into the skin. If you have acne you can do additional treatments and peels to get more improvement. Hypopigmentation will need more of an evaluation and possibly additional lasers to get improvement. I suggest a formal consultation with an expert in lasers and peels. Best, Dr. Emer.​

Jamé Heskett, MD · Answer

Hi….YES! You would be a great candidate for micro needling for total rejuvenation of the facial and neck skin. I would only do it with Platelet rich plasma in order to get the maximal results for the pigmentation. Not only will it improve the laxity, and spots, it will improve the clarity of the skin, shrink the pores, and smooth the fine and deep wrinkles. 3 treatments done 1 month apart will run you about $3000 and will make a huge difference in the overall quality of the skin. While there are other treatments that deal with just one aspect of rejuvenation, the micro needling would deal with all aspects really aside from volume loss, but often a little bit of filler after the 3 mos in the areas with a little volume loss can have a really nice and natural impact. 
Hope this helps with your decision
Dr. Heskett

Skin laxity and hyperpigmentation - would Microneedling with PRX-T33 be effective for me? (photo)

Answers (3)

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