Can I ever have acne scar-free skin? (Photo)
Doctor Answers 4
Acne scar reduction is a reality at any age
I would recommend a series of fractionated laser treatments over time that will gradually rebuild the collagen in your skin and help smooth out your scars. Rollering will typically give a milder response. Newer technologies like RF are showing promise like fractionated lasers. And finally traditional treatments like subcision and fillers work to help the worst of scars get the last bit of improvement.
Your age is a benefit as you should have a higher collagen remodeling ratio. Darker skin tones are definitely harder to treat and experience higher incidences of hyperpigmentation that is treatable and manageable, but results can be dramatic with 50-70% improvement in experienced hands.
You will never remove all signs of the scars but through a few treatments you can make your skin improve dramatically and with relative permanence.
But you need to know and remember treating acne scarring is a path to making scars better, sometimes a lot better, but not all gone.
You can have scar REDUCTION
In your case I would probably elect to use INFINI RF over Fractional CO2 laser. Plan is -
1. 3-4 Infini RF treatments over 4-5 months.
2. Re-evaluate. If shallow enough scars, erbium fully ablative. Will have skin colour changes that may last a few months.
3. Re-evaluate, will need focal dermal fillers for atrophic areas, +/- Subcision for the tethered or anchored scars.
All the best
Dr Davin Lim
Laser and aesthetic dermatologist