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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
It would be best to contact a board certified dermatologist to see what would be the best treatment for you. It appears that you would need a combination of treatments including fillers and lasers to have the best cosmetic results. Best, Dr. Green
A few good guys I know in California. Dr Jason Emer- very good reputation. Dr Chris Zachary, wealth of knowledge and experience. All Board Certified Derms. CheersDr Davin LimLaser and aesthetic dermatologistBrisbane, Australia.
Our office is the leading scar treatment center and we use a combination protocol for HiDef Acne Scar Revision that includes fractional lasers, ablative lasers, Vbeam, Clear and Brilliant, subcision, TCA Cross, and acne surgery for acne scars. I would recommend TCA Cross and Ematrix RF for your...
I find that the best treatment for these type of scars is to use Sculptra or Bellafill, depending on the nature of the scar. Lasers such as Fraxel and eMatrix will also improve your scars. Please consult an expert for the best cosmetic treatments. Best, Dr. Green
Subcision helps "lift" the skin off a scarred tissue bed to reduce the severity of the depression. Depending on the technique used, there may be short term pain, bruising, or numbness to an area. Also, the insertion site of the needle or blade used to perform the subcision may create a scar in...
