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Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. 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 decide whether early subcision should be started. Best, Dr. Karamanoukian Realself100 Surgeon
If the scars are more than a few months old, sunscreen might help a little. If they are more fresh, silicone sheeting might be helpful in addition. You really need the scar evaluated properly before you follow any specific course of action.Best Regards.
I have a couple of suggestions that are safe and may help. The first is silicone gel sheeting such as Cicacare or Curad scar therapy (available over the counter). The other is tretinoin cream which not only can improve the appearance of the scar but can help with the pigmentation as well (by prescription only). Application of the silicone gel sheeting can be alternated with nightly application of the tretinoin cream, every other day. Certain bleaching agents such as hydroquinone can be used as well to lighten the pigmentation. Ambi fade cream is a 2% OTC form of hydroquinone that is widely available.Good luck.
