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Hi and thank you for your question! While it's very difficult to say without seeing you and determining what is specifically best for you, in general when the goal is collagen production, microneedling works better. I should add that there are several other treatments that can be even more effective in stimulating collagen production, including radiofrequency (Venus Freeze) and Fractional CO2 laser which essentially does everything microneedling those but at a much higher strength and with more significant results. I hope it helps and good luck!
Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started. Best, Dr. Karamanoukian Realself100 Surgeon
Many factors come into play- TCA CONCENTRATION, pre peel, acetone scrub, Jessners, layering, pressure, and with microneedling - energy vs RF vs insulation vs PRP post. The most important factor is your specialist as he or she will find a solution to achieve your goals. In FL, Dr Steve Weiner has an excellent reputation. Well worth the visit to see an ethical and talented plastics. Dr Davin Lim. Brisbane Dermatologist, Australia.
