Does sciton profractional laser work on icepick, boxcar pitted scares? (photos)
Doctor Answers 5
Best for general acne scar reduction with Scition.
This video shows how I use the Scition and TCA to treat scars in ethic skin types. (SEE web reference)
All the best
Dr Davin Lim
Laser for icepick/boxcar acne scars
Treating acne scars needs to be individualized to the patient because not all scars respond the same- Ice-pick scars are generally very difficult to treat (i'm not sure anything works really well). Depending on the size and depth of the ice-pick scar, the CROSS method using 100% TCA may help. From your photos it looks like you may have some active acne. If this is the case, it is really important that you get your acne under control to prevent further scarring. Also fractionated ablative and non-ablative lasers can sometimes cause acne to flare following treatment.
The profractional is a good laser, however, with more aggressive settings you can have more downtime with this laser. If this is an issue for you, you may want to consider treatment with a non-ablative fraxel or even a microneedling radiofrequency device (we have been using one in my office and have seen some good improvement in both scarring and mild acne).
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
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Fraxel and other treatments for Scars
You can never judge how scars will heal by only one treatment. Depending on how deep the scars are, it will take several treatments. Also, sometimes alternating with other therapies such as PRP will help heal these scars. Some box car scars also need surgical subcision to help as well. Scars are a complicated process and you need to consult an expert for the best cosmetic results. Best, Dr. Green
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