Mini lifting for acne scars. (photo)

Question

Im 35 years old who suffer for acne scars,I have one fraxel 1550 didn't do anything ,I had sciton profractionl ,ans I dont see any change ...I pull up my skin and look smooth and the scars disappear .so I think the best results is a mini lifting ..please any doctor who give me a good advice ,im so depress

Dilip D. Madnani, MD, FACS · Answer

Thank you for your question. I would argue against the need for a mini lift at this time. The treatments with the sciton pro fractional or any other resurfacing laser will depend on the intensity of treatment and the number of treatments. Your acne scars should do well with resurfacing, however, multiple treatments will be required to get the desired improvement. Speak to a physician with experience in this and what kind of results can be expected.

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. ​"

John Mesa, MD · Answer

Acne scars are difficult to manage. A facelift will not
improve them because the procedure does not address the main problem: skin
irregularities secondary to acne scarring. Patients with significant acne
scarring that have failed to improve with laser treatments could benefit from a
carefully done mosaic TCA chemical peel. This type of chemical peel modality
combines the effect of a very deep and intermediate depth TCA (Trichloroacetic
acid) peel to improve the skin irregularities secondary to acne. Patients may
require more than one treatment to see significant results. Patients interested
in a TCA chemical peel for acne scar treatment should consider making a
consultation with a Board Certified Plastic Surgeon specialized in chemical
peels.

Harold J. Kaplan, MD · Answer

I know that when you pull your skin up with your hands the scars look better but that doesn't really happen with a minilift. You will be better served by pro-fractional laser treatments despite your current disappointment. It can take several to get results.

Luis A. Cenedese, MD, FACS · Answer

A mini-lift willl only result in minor temporary improvement in the cheeks.  Significant long term improvement will require repeated Laser treatments, dermabrasion, deep chemcal peel(s) filling with fat or Artefil injections.Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

Francisco Canales, MD · Answer

I do not believe a mini lift will help the acne scars.  Seek out an expert plastic surgeon or dermatologist who can review potential treatments for acne scars. Best,

Mini lifting for acne scars. (photo)

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