I have raised/papular acne scars for 5 years. I am considering getting microneedling to help flatten them which. Microneedling was suggested by a dermotalogist instead of laser because of color of my skin. I have tried steroid injections in the past and have had no luck with it. On with my main questions, will microneedling will the bumps be more raised because microneeding promotes collagen? I don’t want to make the scars worse. I don’t know what else to try for my type of scars.
Answer: Microneedlinging combined with Radiofrequency can help unclog stubborn pores. Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
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Answer: Microneedlinging combined with Radiofrequency can help unclog stubborn pores. Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
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December 1, 2019
Answer: Papular Acne Scars May Respond To Combining Triamcinolone With 5-FU & To Scalpel Sculpting As an addendum to your question posed the other day, I would suggest that you consider a trial of intralesional FU combined with triamcinolone either alone or combination with scalpel sculpting to flatten them flush with the surrounding normal skin. It would be important to know the concentration of the steroids used in the past unsuccessfully, since too a low concentration may have been chosen to be effective. I have over two decades of experience with medical microneedling, so I can comfortably say that I would be cautious about considering medical microneedling in this case precisely because this procedure, properly performed, is aimed at increasing collagen and elastic fiber synthesis and could potentially aggravate the situation. Make sure that you consult with a board certified aesthetic physician before proceeding. Best of luck.
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December 1, 2019
Answer: Papular Acne Scars May Respond To Combining Triamcinolone With 5-FU & To Scalpel Sculpting As an addendum to your question posed the other day, I would suggest that you consider a trial of intralesional FU combined with triamcinolone either alone or combination with scalpel sculpting to flatten them flush with the surrounding normal skin. It would be important to know the concentration of the steroids used in the past unsuccessfully, since too a low concentration may have been chosen to be effective. I have over two decades of experience with medical microneedling, so I can comfortably say that I would be cautious about considering medical microneedling in this case precisely because this procedure, properly performed, is aimed at increasing collagen and elastic fiber synthesis and could potentially aggravate the situation. Make sure that you consult with a board certified aesthetic physician before proceeding. Best of luck.
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December 1, 2019
Answer: Microneedling and raised scars I don’t generally think microneedling will help these scars from the photos they you gave. You probably need a stronger concentration of steroid solution injected into the individual scars. Please consult an expert in acne scars to help you. Best, Dr. Green
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December 1, 2019
Answer: Microneedling and raised scars I don’t generally think microneedling will help these scars from the photos they you gave. You probably need a stronger concentration of steroid solution injected into the individual scars. Please consult an expert in acne scars to help you. Best, Dr. Green
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December 1, 2019
Answer: Steroid injections and scars. Agree with Dr Michele Green, steroid injections or delivery with the drip technique. 3-5 sessions over 6 months should markedly improve things. The ideal treatment for acne scars will depend on the morphology of individual scars. For example, rolling scars are best treated with subcision, atrophic scars with fillers, pick-ice pick scars with TCA or Phenol CROSS/ Paint, box-scar scars with fractional laser/ modified TCA/ phenol chemical peels, hypertrophic scars with steroid injections/modulated fractional delivery.
Helpful 1 person found this helpful
December 1, 2019
Answer: Steroid injections and scars. Agree with Dr Michele Green, steroid injections or delivery with the drip technique. 3-5 sessions over 6 months should markedly improve things. The ideal treatment for acne scars will depend on the morphology of individual scars. For example, rolling scars are best treated with subcision, atrophic scars with fillers, pick-ice pick scars with TCA or Phenol CROSS/ Paint, box-scar scars with fractional laser/ modified TCA/ phenol chemical peels, hypertrophic scars with steroid injections/modulated fractional delivery.
Helpful 1 person found this helpful
