Can I get subcision with PRP in New York?

Question

58/F. I would like subcision done with PRP. I never want to get filler again. A physician here on RealSelf had recommended that but he’s all the way in NJ and I live in New York. I’m willing to get any recommended treatment as long as it does not involve fillers. I don’t mind to invest in something that will work. I would hate to waste my time and money and end up the same. So if any physician in the New York area could do the treatment that I would like please respond to this post. Thank You

Jason Emer, MD · Answer

These can be improved with a combination of surgery and/or lasers and microneedling/prp. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. 1. vascular lasers (yellow laser, vbeam, excel v)2. fractional lasers (fraxel, erbium, co2)3. microneedling/PRP4. silicone based scar gels with growth factors5. excision/ revision surgerysee an expert.Best, Dr. Emer

Michele S. Green, MD · Answer

Thank you for posting. I provide both of those services but based on your photos it is difficult to see if these two procedures would be enough to treat these scars.  It appears that you may need Sculptra or a laser like eMatrix for the scars.  Please consult an expert in treating scars for the best cosmetic results. Best, Dr. Green

Davin Lim, MBBS, FACD - Account Suspended · Answer

See the above dermatologist for an assessment first. Never go for a treatment, but solve the problem with a method for YOUR type of acne scarring. The very first step is careful examination. Subcsion was first reported in 1995. Since then this technique has taken many pathways. Most dermatologist and plastics still perform the old method- using sideways motion to break scars down. In the original papers this took 6-10 sessions using a needle. This still can be effective, but its OUTDATED. Since then other methods have evolved including-

The use of other size needles
The use of NOKOR or cutting needles
The use of cannula techniques

Of all these techniques, cannula stands out. The most recent paper this year shows that it has the best rate of scar breakdown with much less side effects than with NOKOR. Namely less bruising and ‘lumps’ from bleeding.

The results of subcision is extremely variable and will depend on the technique and experience of your Plastics or Dermatologist. Ensure they can perform all techniques competently. This is especially important with dermal fillers (or fat transfer). If one subcises a depressed scar and find it has NOT got significant tethering, a filler is needed. In this situation filler or fat is needed to elevate the scar. Subcision is my preferred method for scar revision, as I can feel how many scars I am breaking with my 3 level cannula technique. This is now considered the Gold Standard in subcsion as reviewed by peer papers. All other modalities including lasers, energy devices and peels are considered ‘instruments’ in the way I practice acne scar revision. Remember treat the scar type with a method, and you will achieve the desired outcomes. Subcsion releases and remodels acne scarring from underneath. Needless to say this just a method, the results you will achieve is 90% dependent on the skill sets of your Plastic surgeon or Dermatologist.

All the best, Dr Davin Lim

Acne Scar Specialist. Brisbane. Australia.

Can I get subcision with PRP in New York?

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Can I get subcision with PRP in New York?

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Everything you need to know about Subcision

Our mission is to create a world where every investment in modern beauty is Worth It.