What treatment would give the best result for my acne scars? (Photos)

Question

Could you please suggest me what treatment would be great for my acne scars. I had Accutane for six month and no breakout after left accutane since last 9 months. I visited doctor and they suggested microneedling and Lumenis ResurFX laser. I’m confused what would be best. I’m from Dallas, TX, USA. Could you please suggest that who is best in Dallas for my acne treatment.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of acne scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic acne scars and indented acne scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your acne scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

"​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. ​"

James A. Kraus, DMD · Answer

Hello, 
I think subcision for the deeper scarring to start followed by a series of ResurFX treatments (3-6) would be a reasonable option for treatment for the scars you currently have. I would seek out a professional that has a wealth of experience in treating acne scarring.

David Azouz, MD, FACS, FRCS(C) · Answer

Laser resurfacing, skin care and at times direct excision are the best treatment options for improving acne scarring.  A plastic surgeon should come up with a thorough and comprehensive skin care regiment to treat the individual patient.

Jonathan Zelken, MD · Answer

Hello Ksoni08,
Thank you for your question and the photos. The treatment that was recommended to you (Microneedling and ResurFX) are both great treatment options. Keep in mind that you will most likely need at least 3-4 treatments with the ResurFX. You may see the best results from one or two treatments of CO2 laser resurfacing. Hope this helps!

What treatment would give the best result for my acne scars? (Photos)

Answers (7)

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Answer: Acne Scarring managment

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Answer: Treatment for acne scars.

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What treatment would give the best result for my acne scars? (Photos)

Answers (7)

Answer: Acne Scarring managment

Answer: Acne Scarring managment

Answer: Treatment for acne scars.

Answer: Treatment for acne scars.

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Everything you need to know about ResurFX

Our mission is to create a world where every investment in modern beauty is Worth It.