Treatment of smoker's lines and acne scars
For smoker's lines I recommend a combination approach. Most patients need all 3 of the following, while others may need only 1-2 for optimal results.
- Neuromodulator (Botox, Dysport) to relax the muscles that purse the lips - done before laser to help prevent re-etching of lines in newly resurfaced skin.
- Laser resurfacting (Full-field Erbium or fractionated CO2)
- Filler (e.g. Restylane Silk, Belotero)
For acne scarring it is important to consider the type of scars - rolling, boxcar, pitted. A combination approach is often indicated and may include:
- Subcision to release fibrous bands that tether the scars
- Laser or radiofrequency device (e.g. fractionated CO2, Infini RF, non-ablative fractionated 1540)
- Filler (e.g. Restylane)
You will need to consult with your physician to see what your unique needs may be.
Best of luck!
Fraxel is a laser skin rejuvenation treatment that resurfaces your outer skin, erasing imperfections. It also encourages the production of collagen, a protein found in connective tissue.The result is clearly visible lines, folds and wrinkles. Fraxel laser skin rejuvenation is a non-invasive technique that affects only about 20 percent of the facial skin exposed to it. The most common side effects of Fraxel laser treatment are swelling and skin redness, which should subside within a couple of days. Other temporary side effects may include minor itching, dry skin, peeling or flaking, and a bronzed skin appearance. The risk of infection or scarring is very limited.
Lines around the mouth an scars
Typically these lines are some of the most difficult to treat. I can't tell from the photos if you need a lower face lift. An in office consultation is the only way to assess this situation. However, a combination of fillers, Fraxel, and topical skin care are generally needed in these areas. Please consult a board certified dermatologist for the best cosmetic results.
Treatment of acne scarring and smokers lines -- fractional co2 laser with prp and microneedling, then fillers like bellafill etc
I suggest speaking to a dermatologist who specializes in scarring and lasers. You need a combination approach to get the best results for these conditions. Best, Dr. Emer.