Recommendation for deep boxcar acne scars on cheeks? (Photos)

After perusing this site, treatments, before/aftr pics 4 a yr…Am more confused. CAN boxcar acne scars be significantly improved? Say 70%? Had fillers; very slight result. Prone to hyperpigmentation so hope to avoid laser. I think my best bet is excision, but mixed reviews w/new scars 4 some. Level w me-what are my options? Hate the gaping scars on my cheeks, ok w shallow ones. Willing to spend, but not $ of a car. How can Bruce Jenner become Caitlin & I cant fix a scar! I digress. Tks for help!

Doctor Answers 4

Acne scar treatments in Los Angeles

I would recommend a combination regimen that includes fractional lasers, fractional RF, subcision, and fillers to help your acne scars. Best, Dr. KaramanoukianLos Angeles

Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

INFINI , Bellafill, Restylane and others

Like Dr Weiner, I prefer INFINFI RF for this type of scarring. I do like eMatrix, but only for early shallow box car scars (IMO), INFINI RF is not a laser, and the depth that we go to will be around 3 mm, which is much deeper than sub ablative -sublative eMatrix. You will require 2-3 sessions, adding PRP can quicken healing times and reduce over all pore sizing. You will also need filler at the end. In the US you have Bellafill, in Australia I would use a combination of subscision and Juvederm Volbella. Expect to improve by 50-70% after a series of treatments, wishing you well.Dr Davin Lim, Brisbane, Australia. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 77 reviews

Deep Acne Scars

A combination of eMatrix, and fillers such as Bellafill or Restylane should correct this area.  eMatrix is a "color blind" laser so you can have very dark skin and have no risk of hyperpigmentation.  Please consult an expert in acne scars.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

Deep boxcar acne scars

I think that combination therapy with Infini, Bellafill, and perhaps PRP would give you significant improvement. This must be done by an experienced physician. Infini is not a laser but RF and is safe for darker skin types.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 41 reviews

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