Best procedure to fix my acne scars and skin texture? (photos)

Question

Hello, could you please advise me on what procedures would help me most with my acne scars as well as my skin texture and large pores? Thank you!

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

Nelson Lee Novick, MD · Answer

TCA CROSS has a proven, over two decade track record of safety and efficacy for treating ice pick scars and enlarged, dilated pores in all skin types. And, unlike expensive "bells and whistles" lasers and other faddish devices, it is relatively inexpensive and engenders little to no significant downtime. I have personally been performing it for these purposes for twenty-two years. Make sure to consult with an experienced, board certified cosmetic dermatologist, and, best of luck.

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, BBL, or IPL for redness or thick acne scars. 
- Lasers such as Fraxel, Erbium, CO2, Halo or fractional radiofrequency (Venus Viva, Skinfinity, Morpheus, PiXel8, Fractora, 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. ​

Harold J. Kaplan, MD · Answer

Hello Angel, you are an excellent for laser resurfacing.  We would use combination of full field and fractional laser resurfacing for the pinpoint or ice pick acne scars.  Because the scars are small, you should get excellent improvement.

Derakhsh Fozouni, MD · Answer

Microneedling with PRP or Laser resurfacing can dramatically help your skin and fade away those scars.
Hope this Helps You!

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