Acne scars on forehead. What type of treatment would help me? (Photo)
Doctor Answers 6
Lasers and Ematrix RF as part of our Hidef Acne Scar Protocol
Forehead acne scars
Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen
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First there are different types of acne scars that respond to treatments differently. Ice pick scarring is the least responsive to lasers and/or chemical peels. These sometimes need to be surgically removed. Rolling and box car type scarring is more responsive to laser. The common types of lasers used are ones that stimulate collagen such as fractionated CO2 or Erbium. Additional treatments include chemical peeling and/or subcision (a needle inserted beneath the scar to break up collagen). Your scars appear to be more of the rolling and box car type, but this is difficult to fully evaluate on a picture. Sometimes the treatments mentioned are used in combination to optimize results. Typically an improvement of 50-70% is a realistic expectation.
For acne scarrig, the Fraxel laser is the gold standard for treatment. With the Fraxel®, acne scars are improved over a series of 4 or 5 sessions. The Fraxel® laser utilizes Fractional Resurfacing Technology in which only a portion of the skin actually receives the laser light. With this technology, the laser delivers a series of closely spaced microscopic laser spots to the skin while simultaneously preserving normal healthy skin between the laser spots.
Acne scar options
The "gold standard" for acne scarring would be filling with Bellafill, or an aggressive laser treatment such as fractional CO2 or Fraxel. CO2 and Fraxel lasers can give significant down time and are painful. Acne scars are tough to treat because they extend in to deep layers of skin, so the best results will come from more aggressive (i.e. more painful and expensive) modalities. Less painful and less expensive options than CO2 or Fraxel would be eMatrix or microneedling with growth factor. These treatments work well, but it takes a series of treatments to see results. There is no permanent cure for acne scars, so you will have to have repeat treatments occasionally: anywhere from 1-4 years after initial treatment depending on which initial option you choose.