I would like to have my acne scars/pits removed! I'm interested in laser treatments, fillers, and sanding. (Photo)
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Doctor Answers 5
Acne Scarring in Darker Skintypes & Skin of Color
My suggestions on the lower cost end would be to do some microneedling (I use Eclipse Micropen) at a relatively deep setting, say 2mm. You would most likely require 4-6 treatments, spaced about a month apart to see some significant improvement. (In California, treatments of this depth require an RN or higher level to render this treatment, it is not the same that you might get from an esthetician in a medspa) Downtime is minimal, easy recovery over a weekend, microneedle on Friday, back to work on Monday, maybe using a little cover makeup for the mild tracking (I recommend Oxygenetix, but only 24 hours after the needling)
Advancing up the tech and cost ladder, I would most likely next use a RF device by Lutronic called Infini. I am seeing very good results in skin of color in my practice to resolve acne scarring. This treatment puts hundreds of needle holes in the surface of your affected skin, usually requires 3 passes, and then, when the needles are at full depth, administers RF energy to tighten and rebuild collagen in the treated areas. It is very safe, even for dark skin types...there is some discomfort, so you may need a nerve block, but an experienced dermatologist or plastic surgeon can easily give you good blocks.
Fractional laser, in my experience, runs the risk of inflammation and therefore pigment, esp in darker skin people, so as long as you accept that risk, it would be a good option as well. Fractional erbium as well as the latest laser by Sciton called Halo is available in my practice. I am seeing results and improvement with moderate to severe acne scarring using Halo.
Finally, once you have done all the laser you think you want to do, I would then contemplate using injectables in combo with needle subcision. Bellafil is my preferred filler of choice because it was recently FDA approved for rolling boxcar type scars and is long lasting (many years) If there are some particularly troublesome icepick scars, small individual punch excisions are a good option, and the minimal scar that occurs easily gets blended in with time and the combination of treatments we discussed above.
Wish you the best, and, just a word of wisdom here...remember...it all doesn't have to be done at once...most of my patients end up using a combo approach to reach their goal.
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
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