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Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. . Best, Dr. Karamanoukian Realself100 Surgeon
KP is not an isolated condition and is a result of your genetics. Thus, any improvement in your KP by procedure or cream is temporary because the cells in your skin are programmed to produce it. 20% of the American population has KP, so you are not alone. Dermabrasion is definitely not a treatment for KP
A dermabrasion can make your skin look smoother, but not less red. Treatment with the pulsed dye laser can help lessen the redness and improve the appearance of the skin. Although there is no known "cure" for keratosis pilaris, it can be controlled with treatments such as the above.
I have never tried a microdermabraision but have done TCA peels for KP. This can be very effective but is temporary.
Keratosis pilaris can be a stubborn, hard to treat problem, especially during the very low humidity cold winter months we experience here in Vermont. As you probably know, it is caused by the dead skin cells sticking together within the hair follicles instead of being naturally shed into the environment. We have had the most success in treating this condition by using the Glytone KP Kit. I find this to be a better, longer-term solution, as well as prevention, than an occasional "manual" treatment such as a chemical peel or a dermabrasion.
Real dermabrasions go deep into the skin and cause raw , oozy wounds which look like when you fall down and scrap your knees. They do great for improving scars. Micro laser and micro dermabrasions are very superficial and look like nothing happened and are good for maintenance...
Often patients who form keloids on their trunk and extremities may not develop keloids on their face. It is very risky though to have dermabrasion if you form keloids. You were fortunate not to have developed keloids after your previous dermabrasion so hopefully, you will not develop...
BAD IDEA! While on any dose of Accutane having any skin penetration can lead to BAD scarring!!! Be careful out there.