What procedure would reduce the texture of scars? (Photo)

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

At least from the photos provided, there appear to be many ice pick scars and dilated pores. Relatively inexpensive TCA CROSS treatment works well for precisely these kinds of scars and is safe and has proven safe effective in all skin types. I have been using this therapy for these kinds of issues for nearly a quarter of a century. I am not at all surprised by the lack of efficacy you had with the expensive "bells and whistles" gizmo treatments, as the hard science to support their use lags well behind the heavy marketing hype and social media buzz to hawk them. Sorry. And microneedling is not a particularly good first-line treatment and is best reserved as a final "polishing" step for better blending, in both color and texture, properly treated scars with the surrounding normal skin.
You would be wise to consult with an experienced, board certified cosmetic dermatologist scar treatment specialist and best of luck.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. For improving scars and skin texture, Morpheus8 could be a great option for you. It combines microneedling with radiofrequency energy, which can help to stimulate collagen production and improve the appearance of scars and overall skin texture. Many people see significant improvement after a few sessions. I hope this helps and best of luck!