Follow up - What can be done for this type of acne scarring? (Photo)

I am skin type 4 and have had scarring on my right cheek for 15 years. When I was a teenager I had some subcision and TCA cross which helped. I have recently had 6 sessions of Palomar Icon treatment and seen some very small improvements in the overall skin texture but I am very self conscious about the large dents. I am now considering trying Infini, Deep FX and Dermarolling with PRP. Are these rolling/boxcar scars? Do I perhaps need further subcision? And what other treatments might help?

Doctor Answers 3

Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen

You need a cosmetic dermatologist who specializes in acne scarring/pigmentation and does a combination of treatments including: surgery, subcision, or TCA cross for deep or pitted "ice pick" scars; fillers like Bellafill or Sculptra or Radiesse for broad "boxcar" or "rolling" scars; Eclipse Micropen for all types of scars and improvement in texture and tone; lasers such as co2 laser resurfacing or Fraxel/Clear+Brilliant or radiofrequency such as Venus Viva to improve the scars and give long term collagen production. There are many options but you want someone who can customize a regimen for your short and long term goals based on your individual situation. Best, Dr. Emer.

Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 176 reviews

Acne Scarring and Skin type 4

eMatrix is definitely the best laser to treat this type of skin and scarring.  I have had great results with this procedure and have reduced the scars in cases just like yours.  Best, Dr. Green

Multiple treatment methods.

I do agree that eMatrix RF is good, especially for early scars. For matured scars other treatment options include Fractional CO2- Erbium laser, or even the newest in RF - Infini Skin Needling RF. This is the latest in RF treatments, and can penetrate up to 3.5 mm deep- where scars lie. 

I would start with a treatment as advised by your board plastics/ dermatologist, then progress based upon results. 

all the best

Dr Davin Lim 
Laser and aesthetic dermatologist
BRISBANE, Australia

You might also like...

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.