What would you recommend for my acne scars? (Photo)
Doctor Answers 3
Differing Acne Scar Types Determine The Optimal Overall Treatment Plan
The overall depression of the cheeks can be treated with the use of a volumizing filler, such as Voluma XC, which I would use in my Upper East Side Manhattan office. (In my Israel satellite facility, where a far greater number of regulatory agency approved volumizers are available, I would choose Stylage XXL). This in itself would help to lift and smooth and stretch the overlying skin and make some of the deeper scars appear more shallow and exhibitless of the "craters on the moon" shadowing that make scars stand out more.
Subcision can then be used to free up the scar tethers that bind down the bases of the deeper scars. A small amount of filler injected afterward can provide immediate lift and improvement and also enable an additional biostimulatory effect to increase new, native collagen and elastic fiber synthesis.
I am not a fan of the use of autologous fat injections, which I stopped performing over twenty years ago. The procedure is relatively expensive, requires a two step minimally invasive process to retrieve and reinject with larger bore cannulas, and often, despite the hope, does notalways persist much longer than traditional off-the-shelf fillers.
Finally, fractional microneedle resurfacting can then be used to better blend the tone and texture of the treated skin with the surrounding normal skin. I have been singularly unimpressed with relatively expensive fraxel lasers, radiofrequency, and ultrasound treatments, finding them to be far more device manufacturer supported marketing hype than backed by hard science. In a January, 2016 article in the trade medical publication, The Dermatologist, referring to the treatment of acne scars with microneedling, the following points were made. "This technique is gaining more interest as it is less costly, has minimal downtime, and fewer side effects than other traditional modalities."
You would do well to seek consultation with a board certified aesthetic physician with experience and expertise in all forms of acne treatments.
Acne Scars and Treatment
You are definitely on the right track since any combination of fractionated lasers and injections will improve your appearance. I would prefer that you had Sculptra injected since the results will last much longer and produce more collagen for your skin. Be certain to consult a board certified dermatologist with a great deal of experience with scars and laser treatments. Best, Dr. Green
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