Can I do subcision and profractional xc laser while on epiduo?

Question

My face is acne free, and I am using epiduo daily as maintenance therapy to prevent acne relapse, I have been advised to undergo subcision and profractional xc for acne scars, but can I do so on epiduo? I’m afraid if I stop epiduo that I might experience a relapse.

Jason Emer, MD · Answer

epiduo is one of the worst products for your skin cosmetically, but yes you can be on it. plus profractional alone does very little for scars should be combined with halo, moxi, fraxel ect.  subcision should be performed with fillers or sculptra for best results.  please pretreat your skin properly with enlighten or cosmelan peels.

at home peels like cosmelan, enlighten and aerify along with dermarolling (Emerageskin roller with anteage MD AERIFY ampules weekly) should be started now (see link to emeragecosmetics).

if you have post inflammatory hyperpigmentation/melasma/discoloration that needs cosmelan or enlighten peels at home which we can do virtually and send to your home along with aerify peels regularly, vivatia foam, restorsea 10x, faith essence serum, and cosmelan 2 cream.

Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, halo, maxi, pro fractional laser/erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we already pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments.  Best, Dr. Emer.

Can I do subcision and profractional xc laser while on epiduo?

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Can I do subcision and profractional xc laser while on epiduo?

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Everything you need to know about Subcision

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