How to smoothen out my face? Mostly acne scars on cheeks and forehead. Lasers, chemical peels, dermabrasion? (Photo)
Doctor Answers 6
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
How to smooth face and reduce scars
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Acne scars in a darker skin type
Acne Scars – Combination of Treatments Needed
The best treatment for acne scars depends upon an individual’s skin type, age, ethnicity, sun exposure, overall health and most importantly, the type of acne scars present (ice pick scars, boxcar scars, rolling scars, hypertrophic scars and variable degrees of hyperpigmentation). In order to give you an accurate treatment plan, a consultation is required to properly assess your skin.
An important step for all skin types is sun protection including the use of daily sunscreen, sun hats and sunglasses, all of which help prevent aging and sunburns.
When it comes to acne scar treatments, a combination of treatments are available including cosmeceuticals (medical grade skin care products specific for acne including ZO® Skin Health or ZO® Medical, Skinceuticals® or Glo-Minerals®), advanced laser resurfacing procedures (CO2 laser, Er:YAG laser, Fraxel DUAL®, PicoSure® FOCUS Lens Array), chemical peels (light, medium, deep including the blue peel), dermabrasion, augmentation/fillers, excision and/or subcision, punch techniques, microneedling/rolling, injections (corticosteroids, interferon, 5-FU), cryosurgery, electrodesiccation and microdermabrasion.
These are advanced techniques so be sure to get an experienced dermatologist or plastic surgeon consultation for recommendations and treatment options.
Multiple treatment methods = Best results
OK, scar revision depends on your skin type, scar type and downtime. Looks like you have a mixture of scars including rolling, atrophic and possibly some box car scars.
Lately in darker skin patients with early atrophic and rolling scars I have been using the Picosure Focus laser - fractional mode. OK results, but the huge advantage of this laser is that it does not have any downtime. I often combine this with focal filling for a true 'no downtime- instant scar revision' result.
The other option is with fractional devices. Overall I prefer my CO2 CORE over Fraxel and Profractional devices for this types of scarring. If you have box car scars (hard to see on the photos), I like a diluted concentration of TCA CROSS- 70-80%.
All the best,
Dr Davin Lim
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.