TCA Cross on Temple Acne scars? (Photo)

Question

My doctor said that she'll be using some TCA Cross on my temple scars. Most of my scars on my temple area are deep boxcar scars. Will it help elevate the scars given my scar type? or you have any suggestion that will give me the most improvement. Thanks

Raffy Karamanoukian, MD, FACS · Answer

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 Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

You really need a combination of lasers, microneedling, TCA cross.  Sometimes surgical removal (punch excision) and fillers help.  Best, Dr. Emer.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Yes, TCA CROSS is one of the methods I would use in your situation. You will also benefit from fractional lasers or micro needling PRP, fillers and subcision. In total you may require 4-8 sessions to improve your scars by 50%.All the bestDr Davin Lim Laser and aesthetic dermatologistBrisbane, Australia.

TCA Cross on Temple Acne scars? (Photo)

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TCA Cross on Temple Acne scars? (Photo)

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