What’s the best scar treatment for these scars having already had restylane + subcision and pico laser? (photos)

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Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Marc Polacco, MD · Answer

Thank you for your question. Very often treatment of these scars is difficult. While the treatments you've undergone already are very typical, another modality you could try is microneedling. If often requires multiples treatments, but there is virtually no downtime and little risk. All the best to you!
-Dr. P

What’s the best scar treatment for these scars having already had restylane + subcision and pico laser? (photos)

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What’s the best scar treatment for these scars having already had restylane + subcision and pico laser? (photos)

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Everything you need to know about Fraxel Laser

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