Will mironeedling combined with hydra facial help reduce my scarring? (Photo)

Question

I was in roeaccutane 1.3 years ago and do not suffer from acne as I once did.

Anil R. Shah, MD · Answer

Thanks for your question and photos. Microneedling on its own is a very superficial treatment and will require many many treatments to see results. If combined with other methods such as Fractora, a radiofrequency with microneedling treatment, or PRP, you will see better results at a faster rate. Hydrafacial with improve the current health of your skin but do nothing for scars.

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Aurora DeJuliis, MD · Answer

Microneedling performed using your own PRP works very well for acne scars. You will need multiple sessions in order to achieve nice results. An other alternative to microneedling is using fractional CO2 laser or a combo of both. Hydrafacial or any other type of facial will do absolutely nothing to help your scars.

Davin Lim, MBBS, FACD - Account Suspended · Answer

If you are seeing a specialist, and doing microneedling ONLY with no RF, expect 10-25% improvement with 4-6 sessions, very technical in some areas as microneedling can be done MANUALLY to break down your target scars. Hydra facial feels good, will do nothing long term for these scars. Acne scar revision comprises of specialised procedures. For the best results, one should target the acne scar type with ideal treatments METHODS. Using one device is not optimal. As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  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.
 
  
As an example deep ice pick scars, and narrow box car scars are best treated with TCA CROSS. Deep narrow scars respond better to this treatment than even the most expensive lasers. On the flip side, rolling, and atrophic acne scars can improve with fractional devices such as Fraxel, fractional lasers, ProFractional erbium lasers, Infiini –Intensif –Intracel radiofrequency microneedling. Atrophic scars (depressions) can be treated with either fat grafts, PRP or dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that I use include punch elevation, surgical elevation, punch excision and traditional excision for focal scars. Early and very mild acne scars respond well to eMatrix and non-energy microneedling, as well as vascular lasers. Skin colour changes such as PIH or dark marks respond best to sun protection, creams, and Q switch lasers in the nano and pico pulse durations. 
  
 
  
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. Additionally tactile examination namely touch will give me an understanding of the amount of subdermal fibrosis, as special equipment is needed for this sub-set of acne scars.  In the majority of patients its finding the correct combination that give you best results, and everyone is unique! It is never about the device, its about the specialist behind the equipment that will deliver the best outcomes. All the best, Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.

Will mironeedling combined with hydra facial help reduce my scarring? (Photo)

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