Always suffered with acne scars. Did CO2 resurfacing in 1998. Big breakout for a year after that. Cleard up with Accutane. Did Fraxel Restore in 2018, and have done 5 microneedling sessions since. Texture and stubborn rolling scars are my continuing problem. Just discovered subcision and TCA Cross. Thinking they might help further improvement. Please let me know what you think.
Answer: Recommend doing TCA cross combined with venus viva RF 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.
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Answer: Recommend doing TCA cross combined with venus viva RF 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.
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June 16, 2020
Answer: Acne Scarring -- Needs Combination Subcision; Fillers Like Bellafill; Sculptra/ Lasers Fraxel/Erbium/Co2; TCA cross; Fractora nothing will get you a cure, but at home peels like cosmelan and enlghten (which we do virtaully see link to emeragecosmetics.com) and dermarolling help build collagen and Improve texture BETWEEN lasers. you can do a much stronger treatment to start then do on going fractora, subcision, bellafill (not sure In these hpotos if TCA cross will help). halo/profractional can be used as an alternative to co2 but BOTTOM LINE is you need an expert treating you.
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June 16, 2020
Answer: Acne Scarring -- Needs Combination Subcision; Fillers Like Bellafill; Sculptra/ Lasers Fraxel/Erbium/Co2; TCA cross; Fractora nothing will get you a cure, but at home peels like cosmelan and enlghten (which we do virtaully see link to emeragecosmetics.com) and dermarolling help build collagen and Improve texture BETWEEN lasers. you can do a much stronger treatment to start then do on going fractora, subcision, bellafill (not sure In these hpotos if TCA cross will help). halo/profractional can be used as an alternative to co2 but BOTTOM LINE is you need an expert treating you.
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June 16, 2020
Answer: Subcision For Elevating Indented Scars; TCA CROSS For Ice Picks; Professional Microneedling For Blending Color & Texture The title to my answer is a definite yes from what I can see in the photos provided. Subcision, which I have personally been performing since 1994, is an excellent method for elevating and smoothing indented rolling and boxcar scars. TCA CROSS, which I have been performing for twenty-two years is a proven method for treating ice pick scars, dilated pores and very narrow-based boxcar scars. All of these methods are simple, relatively inexpensive, and have very long record of safety and efficacy--something that cannot be said for the wide array of expensive "in" devices being hawked out there like fraxels, radiofrequency and ultrasound machines. Finally, once the depressed scars have been made more flush with the surrounding skin, professional microneedling, another procedure that I have been using for over two decades, may be used to better blend the color and texture of the treated areas with the surrounding normal skin. Make sure that you vet your doctors well being agreeing to proceed. Best of luck.
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June 16, 2020
Answer: Subcision For Elevating Indented Scars; TCA CROSS For Ice Picks; Professional Microneedling For Blending Color & Texture The title to my answer is a definite yes from what I can see in the photos provided. Subcision, which I have personally been performing since 1994, is an excellent method for elevating and smoothing indented rolling and boxcar scars. TCA CROSS, which I have been performing for twenty-two years is a proven method for treating ice pick scars, dilated pores and very narrow-based boxcar scars. All of these methods are simple, relatively inexpensive, and have very long record of safety and efficacy--something that cannot be said for the wide array of expensive "in" devices being hawked out there like fraxels, radiofrequency and ultrasound machines. Finally, once the depressed scars have been made more flush with the surrounding skin, professional microneedling, another procedure that I have been using for over two decades, may be used to better blend the color and texture of the treated areas with the surrounding normal skin. Make sure that you vet your doctors well being agreeing to proceed. Best of luck.
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June 19, 2020
Answer: Acne scars Acne scars are treated differently depending on their appearance and structure. Sometimes there is no actual scar at all, but just a dark spot from inflammation. These spots usually improve on their own if you protect them and keep them out of the sun. In the meantime, to control the inflammation and acne breakouts, topical retin-a cream with intermittent salicylic acid peels can dramatically improve your skin tone and frequency of breakouts. Once the acne is controlled and you continue to do have remaining scars due to permanent dermal injury from acne, a variety of treatments can be performed to remodel the scar from energy-based lasers and radiofrequency devices to mechanical disruption of the scar with microneedling. Deep wide scars can be released and filled in with subcision and a filler such as Bellafill which is specifically designed for divets and depressions left by acne. The very thin or deep ice-pick scars are best treated by excising them completely. I especially like a combination of a chemical peel for the hyperpigmentation and acne control, microneedling with PRP for texture and collagen building, and PIXEL fractionated laser or RF to resurface and build even more collagen. I would use the subcision with Bellafill for the individual deeper scars. Not everyone is a candidate for all the treatment options however as certain skin types can get worse from certain treatments. For the best treatment options, it is important to visit an expert for an in-person examination. Hope this helps!
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June 19, 2020
Answer: Acne scars Acne scars are treated differently depending on their appearance and structure. Sometimes there is no actual scar at all, but just a dark spot from inflammation. These spots usually improve on their own if you protect them and keep them out of the sun. In the meantime, to control the inflammation and acne breakouts, topical retin-a cream with intermittent salicylic acid peels can dramatically improve your skin tone and frequency of breakouts. Once the acne is controlled and you continue to do have remaining scars due to permanent dermal injury from acne, a variety of treatments can be performed to remodel the scar from energy-based lasers and radiofrequency devices to mechanical disruption of the scar with microneedling. Deep wide scars can be released and filled in with subcision and a filler such as Bellafill which is specifically designed for divets and depressions left by acne. The very thin or deep ice-pick scars are best treated by excising them completely. I especially like a combination of a chemical peel for the hyperpigmentation and acne control, microneedling with PRP for texture and collagen building, and PIXEL fractionated laser or RF to resurface and build even more collagen. I would use the subcision with Bellafill for the individual deeper scars. Not everyone is a candidate for all the treatment options however as certain skin types can get worse from certain treatments. For the best treatment options, it is important to visit an expert for an in-person examination. Hope this helps!
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July 5, 2020
Answer: Scars and treatments Probably subcision will help, I am not too sure about TCA as your scars do not have sharp edges. RFM , proper ablative lasers (fractional or full) can all help.The ideal treatment for acne scars will depend on the morphology of individual scars. For example, rolling scars are best treated with subcision, atrophic scars with fillers, pick-ice pick scars with TCA or Phenol CROSS/ Paint, box-scar scars with fractional laser/ modified TCA/ phenol chemical peels, hypertrophic scars with steroid injections/modulated fractional delivery.
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July 5, 2020
Answer: Scars and treatments Probably subcision will help, I am not too sure about TCA as your scars do not have sharp edges. RFM , proper ablative lasers (fractional or full) can all help.The ideal treatment for acne scars will depend on the morphology of individual scars. For example, rolling scars are best treated with subcision, atrophic scars with fillers, pick-ice pick scars with TCA or Phenol CROSS/ Paint, box-scar scars with fractional laser/ modified TCA/ phenol chemical peels, hypertrophic scars with steroid injections/modulated fractional delivery.
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