Is a Microlaser Peel Good For Multiple Types of Acne Scars? (photo)

Question

Hi, I am thinking about getting MicroLaserPeel treatment. I have mild acne scarring on my both cheeks...combination of rolling, box, icepick scars. My scars looks like the photo. Do you think the treatment works for these type of scars? Or should I get different types of laser treatment? Thank you.

Gregory A. Wiener, MD, FACS · Answer

Microlaser peel will improve the texture and tone slightly. I recommend doing profractional laser therapy instead. This allows the laser to deeply exfoliate the skin with minimal downtime. Typically, 3-6 treatments are needed for optimal results. We have seen amazing results with profractional laser therapy for acne scars.

Jason Emer, MD · Answer

Acne scars need a combination approach for long-term improvement. Everyone has a unique pattern of acne scarring, and most people have various types of scars, so we create a tailored treatment plan for each patient. We often use:- Injectable fillers like Bellafill and Sculptra (with or without subcision) for atrophic, indented scars. - Subcision for depressed, tethered scars. - Vascular lasers like Yellow laser, Aerolase, excel V, or IPL for redness or thick acne scars. - Lasers such as Fraxel, Erbium, CO2 or fractional radiofrequency (Venus Viva, Skinfinity, Intensif microneedling RF) for textural issues and superficial scarring. - TCA CROSS and punch excision for deep ice pick scars and narrow box car scars. 
All lasers are combined with microneedling/PRP to improve the results and accelerate your healing time. Keep in mind that a personalized combination treatment by an expert physician will give you the improvement you're looking for. I recommend getting a formal evaluation with an experienced cosmetic dermatologist and acne scarring expert. Best, Dr. Emer.

John L. Burns Jr., MD · Answer

Usually a microlaser peel means a very superficial debth treatment:  about 50 microns.  This is not deep enough to make any real improvement.  I suggest a combination of Bellafill, microneedling at 2.0mm with growth factor based skin care to promote collagen remodeling.

Amaresh Swaro, MD · Answer

A laser peel may not be an effective solution for you. Laser peel  can only look after superficial uneven skin due to sun damage. This helps you to get a good refreshing skin. However, in your case , I would recommend a Deep Fractional treatment By Fotona SpDynamis. This is a very advanced and effective treatment. The laser in this treatment can go deeper in the skin and creates micro injury to stimulate your own tissue to start healing. One session of this treatment can start the process of healing which lasts for about 6 months. Typically a person needs 3-5 treatments 4 weeks apart. Thus the whole healing process can last for about a year.

Jacque P. LeBeau, MD · Answer

A microlaser peel alone will give you some improvement in the superficial texture of your facial skin but will not give you resolution of your facial scarring. The best treatment would be a series of microlaser peels combined with deeper fractional resurfacing for treatment of your acne scars.

Martie Gidon, MD, FRCPC, FAAD · Answer

You need a more aggressive treatment than a microlaser peel. Consult a board certified dermatologist or plastic surgeon who offers subcision and fractional laser treatments which would be more effective for you.

Kris M. Reddy, MD, FACS · Answer

Choose a physician who can utilize multiple treatments including laser to get maximum improvement for acne scars. Microlaser peel by itself may not be the best laser option. In combination with profractional or erbium, microlaser peel can provide good results on the appropriate patients.

Daniel Shapiro, MD · Answer

The MicroLaserPeel or &ldquo;weekend&rdquo; skin peel addresses conditions associated with sun damage and aging. As compared with microdermabrasion or light chemical peels, a MicroLaserPeel is a deeper treatment that precisely removes the outermost layers of skin, and treats wrinkles, scars, acne scars, keratoses, and irregular pigmentation. Patients experience smoother, healthier, more vibrant skin, with a significant immediate change in skin texture and tightness. A MicroLaserPeel is the perfect step between microdermabrasion and more aggressive full laser resurfacing. However, I would suggest meeting with a  board-certified doctor for a thorough consultation to discuss the various options available, as there are many. Best of luck!

Jason Pozner, MD · Answer

Pick the doctor - not the laser. There are many lasers and devices that are effective in treating acne scars. A microlaserpeel alone is not the best option. Fractional devices (lasers or radiofrequency) are currently best for treating acne and other scars. A combination microlaserpeel and fractional erbium laser is very effective. Multiple treatments are needed for optimal results.

Davin Lim, MBBS, FACD - Account Suspended · Answer

As above. Deep scars need to be shallower, then treated with laser to resurface. I would plan on 2-3 session of TCA CROSS, and one session of fully ablative, Pico thereafter to reduce skin colour changes. I agree, pick the doctor not the laser. Acne scar revision is a sub-specialised field. For the best results, one should target the acne scar type with ideal treatments and not just one device. The web reference below will take you to a resource to help you understand acne scar revision at a specialist level. I embedded all the videos in one page to help. 
  
For example deep ice pick scars, and narrow box car scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic scars treated with fractional devices such as Fraxel, fractional lasers, PRP and INFINI radiofrequency. Atrophic scars (depressions) can be treated with either fat grafts, or with HA dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that we use include punch elevation, surgical elevation, punch excision and traditional excision of focal scars. 
  
The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. In the majority of patients its finding the correct combination that give you best results, and everyone is unique! All the best, 
  
Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.

Is a Microlaser Peel Good For Multiple Types of Acne Scars? (photo)

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