What's the best treatment option for acne scars on Asian female? (Photo)

About a year ago, I developed moderate acne on one side of my face. After using tretinoin 0.05% for almost a year, most of the breakouts are under control. However, I'm left with marks that don't seem to go away. I'm continuing the tretinoin, and have just started Finacea a month ago, and use sunscreen everyday, but can't see any difference. What treatment options do I have?

Doctor Answers 4

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

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First get rid of the acne itself.  Then, 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
4.8 out of 5 stars 207 reviews

Pulse Dye Lasers for Red Acne Scars

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Hi C.  Your case is very well suited for treatment with pulsed dye lasers.  These are vascular lasers that are used to get id of all things red.  Several treatments should do the trick as long as you do not continue to get active acne.  

To see examples of this type of scar and treatments with pulsed dye lasers, click on the link below.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Acne Scars an Asian Skin

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The redness of the scars can best be treated with the V-Beam laser and the scar itself with the eMatrix.  Please consult a board certified dermatologist who is a specialist in Asian skin.  Best, Dr. Green

Pulse Dye Laser

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Vascular lasers such as pulse dye laser, or V BEAM can be effective in decreasing the redness. Expect some swelling and bruising for a few days after each treatment. 

You may need 2-3 sessions, spaced 3-5 weeks apart. 

All the best

Dr Davin Lim 
Laser and aesthetic dermatologist
BRISBANE, Australia. 

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.