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Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin. Best, Dr. Raffy KaramanoukianRealself100 Surgeon
Depends. If I am doing individual scars ie. ice pick scars, then I often combine TCA CROSS, punch excision, energy based RF micro needling and Co2 laser in the one procedure, aiming to treat each scar type with a matched procedure. So - the answer is yes, it can be done with caution. All the best, Dr Davin S. Lim
Can not really advise you on what you are wanting to achieve, but as a guide, you should wait at least 3-4 weeks, depending on your skin type and how many coats of TCA. I do not advice more than 2 coats, 10% TCA as a DIY peel. At 18% I have seen scarring from DIY with multicoating. Video shows...
You can start when you recover from your peel. At day 10, your skin should be normal, hence you can START Accutane at this stage. All the best, Dr Davin S. Lim. Brisbane. Australia.
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...
