I’ve had a number of treatments since late 2019 and am still not seeing results I am happy with: CO2 Laser-December 2019 2-3 RF Microneedling sessions during 2020 4-5 sessions of subcision during 2021/2022 My latest provider basically said “see ya” since he is starting a new practice and doesn’t have all of the tools to specialize in scar removal, but suggested CO2 again. I’m hesitant since the cost is so high and I didn’t see good results the first time. Is there anything that will help?
Answer: CO2 laser can help even out the skin texture Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2. Best, Dr. Karamanoukian Realself100 Surgeon
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Answer: CO2 laser can help even out the skin texture Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2. Best, Dr. Karamanoukian Realself100 Surgeon
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October 21, 2022
Answer: Acne Scarring -- Needs Combination of Subcision; Fillers Like Bellafill; Lasers Like Fraxel/Erbium/CO2; TCA Cross; Fractora RF "Acne scars need a combination approach for long-term improvement. Everyone has a unique pattern of acne scarring, and most people have various types of scars, so we create a tailored treatment plan for each patient. We often use: - Injectable fillers like Bellafill and Sculptra (with or without subcision) for atrophic, indented scars. - Subcision for depressed, tethered scars. - Vascular lasers like Yellow laser, Aerolase, excel V, BBL, or IPL for redness or thick acne scars. - Lasers such as Fraxel, Erbium, CO2, Halo or fractional radiofrequency (Venus Viva, Skinfinity, Morpheus, PiXel8, Fractora, Intensif microneedling RF) for textural issues and superficial scarring. - TCA CROSS and punch excision for deep ice pick scars and narrow box car scars. All lasers are combined with microneedling/PRP to improve the results and accelerate your healing time. Keep in mind that a personalized combination treatment by an expert physician will give you the improvement you're looking for. I recommend getting a formal evaluation with an experienced cosmetic dermatologist and acne scarring expert. Best, Dr. Emer. "
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October 21, 2022
Answer: Acne Scarring -- Needs Combination of Subcision; Fillers Like Bellafill; Lasers Like Fraxel/Erbium/CO2; TCA Cross; Fractora RF "Acne scars need a combination approach for long-term improvement. Everyone has a unique pattern of acne scarring, and most people have various types of scars, so we create a tailored treatment plan for each patient. We often use: - Injectable fillers like Bellafill and Sculptra (with or without subcision) for atrophic, indented scars. - Subcision for depressed, tethered scars. - Vascular lasers like Yellow laser, Aerolase, excel V, BBL, or IPL for redness or thick acne scars. - Lasers such as Fraxel, Erbium, CO2, Halo or fractional radiofrequency (Venus Viva, Skinfinity, Morpheus, PiXel8, Fractora, Intensif microneedling RF) for textural issues and superficial scarring. - TCA CROSS and punch excision for deep ice pick scars and narrow box car scars. All lasers are combined with microneedling/PRP to improve the results and accelerate your healing time. Keep in mind that a personalized combination treatment by an expert physician will give you the improvement you're looking for. I recommend getting a formal evaluation with an experienced cosmetic dermatologist and acne scarring expert. Best, Dr. Emer. "
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April 17, 2022
Answer: Field Subcision For Larger Areas Works Well For Improving Overlying Scars A Field Subcision differs from an individual subcision in that a larger area or field underlying many scars or depressions, as opposed to a distinct boxcar or rolling scar, is subcised thereby elevating and smoothing the overlying scars and depressions. In this case the field subcision would encompass the region at the side of the mouth including the marionette line extending down toward the chin. Make sure to consult with an experienced board certified cosmetic dermatologist with special expertise in scar treatments. Best of luck.
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April 17, 2022
Answer: Field Subcision For Larger Areas Works Well For Improving Overlying Scars A Field Subcision differs from an individual subcision in that a larger area or field underlying many scars or depressions, as opposed to a distinct boxcar or rolling scar, is subcised thereby elevating and smoothing the overlying scars and depressions. In this case the field subcision would encompass the region at the side of the mouth including the marionette line extending down toward the chin. Make sure to consult with an experienced board certified cosmetic dermatologist with special expertise in scar treatments. Best of luck.
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