Any suggestions on Microneedling and fillers on acne scars?
Doctor Answers 4
Best options for acne scar treatments in Los Angeles
Treating Acne Scars
Treating acne scars generally requires a combination of treatments to best treat these scars. I find a combination of injections with Restylane combined with lasers such as eMatrix and Fraxel are best at minimizing these scars. For the best cosmetic results please see an experienced board certified dermatologist for these treatments.
Subcision With Fillers For Raising Depressed Scars; Microneedling For Blending Tone & Texture With The Surrounding Normal Skin
Generally speaking, however, if a scar is depressed (atrophic, indented), it would be wise to elevate it so that its base becomes level with the surrounding skin. This, by itself, can help to diminish the "craters of the moon" shadowing effect, which, by itself can effect a noticeable improvement in appearance. A series of subcision treatments with or without the concomitant use of a filler has proven in my experience quite useful for this purpose. What's more, since subcision stimulates neocollagenesis and neoelastogenesis (new, native collagen and elastic fiber synthesis), the beneficial results tend to be long-lasting to permanent, as compared to the use of fillers alone whose results are temporary (approximately one year). I don't recommend the use of permanent fillers, such as Bellafill or silicone, as these substances, should there be any complications immediately or even five to twenty years later, cannot be removed from the skin once injected. .
I have been performing medical microneedling, both manual and automated (e.g. Dermapen) for over a dozen years and have found it best for improving the surface tone and texture of scars, as opposed to elevating any but the most superficial scarring. The results of this procedure, properly performed in experienced hands (because it, too, stimulates neocollagenesis and neoelastogenes) likewise tend to be long-lasting to permanent.
As an aside, I am less than impressed with treatments such as fraxels and radiofrequency treatments for acne scarring, finding these to be more device manufacturer backed marketing hype than hard science.
Best to consult with an experienced, board certified aesthetic physician before proceeding. .
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A combination treatment is best
For acne scars a combination approach is best. If you have mild to moderate scars, a few treatments with an erbium laser and micro needling with PRP (platelet rich plasma) should get rid of them. It also makes the skin healthier overall.