For rolling atrophic acne does Genius Microneedling tend to help make the scars less deep with every treatment?

Question

Is that typically how the healing process works? How many treatments does it usually take to see results on moderate to severe acne scars? Also, any advice on finding someone experienced with subcision in the NYC area?

Steven F. Weiner, MD · Answer

When treating these atrophic scars, I will usually combine with subcision to remove the tethering. Also I theorize that this prevents the energy from traveling too deeply along the scar collagen fibers. Often filler is required for atrophic scarring as well. I use HA or Bellafill for the filler. I always recommend 3 treatments but more might be needed. Each time the scars will become more shallow.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Genius is certainly one of the better RF microneedling devices, and leaps ahead of Infini. In the context of your scars, the answer is 'it depends'. RF microneedling can improve rolling scars, and is certainly a sensible addition to subcision. A real time consultation is advised. In NYC a good dermatologist is Dr Michelle Green.  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. 
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 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.

For rolling atrophic acne does Genius Microneedling tend to help make the scars less deep with every treatment?

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For rolling atrophic acne does Genius Microneedling tend to help make the scars less deep with every treatment?

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