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Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started. Best, Dr. Karamanoukian Realself100 Surgeon
These spots can be improved with a combination of Cosmelan, lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer
Thank you for your question and posting pictures. Start by doing LHR in the area and stop plucking! It looks and sounds like you might have Post Inflammatory Hyperpigmentation (PIH). It may continue to fade on its own over the next several months. If not, you could start by looking for prescription strength 4% Hydroquinone (HQ). Do not buy it over the counter or off the internet. Laws vary by state. In Texas, physicians can prescribe and dispense in office. We have been very successful using the PicoSure laser with the FOCUS and / or Flat Lenses eliminating hyperpigmentation with a series of treatments. FOCUS lens treatments have the extra benefit of reducing the underlying scar tissue. This is one of our go to treatments for patients older than 40 and worried about the signs of aging. This laser is safe for all skin types. Start with sunscreen every day! Once you have treated your hyperpigmentation to your satisfaction, you will probably need a follow treatment every 6 to 12 months depending your level of re-pigmentation. Best of luck.
Scar revision requires in-depth experience and can improve the visibility of scarred tissue. We use a HIDEF approach that includes Vbeam laser for red and active scars, combination fractional and non-ablative laser for active hypertrophic and keloid scars, and micro fractional laser for surface...
Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and...
I recommend getting a formal evaluation with a cosmetic dermatologist for after care. I recommend Silagen + Bioshield to promote healing. Any scarring can be improved with lasers and microneedling/prp. See an expert. Best, Dr. Emer