Acne scars: How much improvement should I reasonably expect? Which procedures should I undertake? (Photo)
Doctor Answers 4
Certain Simple Acne Scar Treatments Can Help To Significantly Improve The Appearance Of Acne Scars
I have been singularly underwhelmed by the results of quite a few of the energy-based treatments being heavily hawked out there, finding them to often yield inconsistent and variable results, and in general, to be far more backed by device manufacturer supported marketing hype than hard science.
Best to seek a consultation with a board certified aesthetic physician with experience and expertise in all forms of acne scar treatment and certainly have a healthy dose of skepticism about any place that may be pushing the use of its new "next best thing to come along" device. For more information on any of the above, check out the archives of RealSelf.com.
Acne scar treatment
1- Before undertaking any acne scar treatment, your acne needs to be in remission. Otherwise, the progress will be "two steps forward, one step back."
2- Since different scar patterns respond best to different modalities, expect to need not only more than 1 session, but more than 1 device/treatment.
3- Practically, I would begin by addressing the large "crateriform" or "boxcar" scars first with either a fractionated laser (e.g. Fraxel) or microneedling. There are newer forms of microneedling that have combination radiofrequency energy, making them more powerful (e.g. EndyMed Intensif).
4- After 2-3 sessions of above, I would turn to the smaller scars, the small but deep ones we call "ice pick scars." I think TCA CROSS is a reasonable approach here, as Dr. Novick mentioned. 2-3 sessions would be needed.
At the end of the day, realize this process will take several months but you can expect at least 50% improvement. Make sure your doctor has handy multiple modalities. If you don't have a device, you can't use it.
Best treatment options for acne scars
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Best Acne Scar Treatments
I have treated many patients with acne scars such as yours. There are times when it takes more than one modality to treat these scars. I have had s great deal of success with both Fraxel and EMatrix laser. It is best to consult a board certified dermatologist who has experience with lasers for the best cosmetic results. Best, Dr. Green