What laser or other modality would get rid of the hypertrophic scars on my nose from blackheads? 32 year old female. (photos)

Question

I am a 32 year old female. I used to squeeze and pick at blackheads on my nose until a couple years ago when I realized scars were forming..I still pick sometimes :/ I've had microneedling, IPL, lutronic clarity 755/1064, a few TCA peels. I use retin-a every 2 or 3 nights and use lots of sunscreen even indoors. These treatments haven't helped. If anything it might of made it worse. I don't have any b4 photos without scars that are clear. What modality do yo suggget? Thank you!

Raffy Karamanoukian, MD, FACS · Answer

Acne scar treatments require precision and attention to detail. There are several types of acne scars, including atrophic, hypertrophic, PIH hyperpigmented, and hypopigmented scars. Depending on the types of scars you have, our office can recommend a Hidef treatment protocol that can recontour existing scars and reduce complexion irregularities. The results are simply life-changing.
 
As a general rule, we recommend fillers, subcision, acne surgery, RF ablation, and laser ablation to help with atrophic scars. Hypertrophic and keloid acne scars require pulsed dye laser and IIT SC. PIH scars require chemical peels, Melarase creams (AM and PM) and laser.
If you have ice-pick scars, we recommend RF ablation and TCA Cross.
Best,
Dr. Karamanoukian
Realself100 Surgeon

What laser or other modality would get rid of the hypertrophic scars on my nose from blackheads? 32 year old female. (photos)

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