eMatrix core for 2 year old boxcar scars, and atrophic scars. Is this a good treatment?

Yes, a combination approach will give the most improvement. These types of scars need a combination of lasers, microneedling/prp, subcision, Cosmelan and fillers. Co2 is the best laser for scars, but Erbium is a great alternative. It will take a series of treatments and may need life-long treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer

Ematrix RF, combined with Replenish cream and fractional laser, can work well on all types of acne scars. Best, Dr. Karamanoukian#Realself100 Surgeon

Depends on the predominant scar type. If its atrophic eMatrix will not have the energy even at max 100 mj per pin. If you are talking about the CORE CO2, it too is not strong enough at 80 mj maximum. Really do need to assess to give you the best option, but microneedling with INFINI or even Intensif RF at a greater depth with yield better outcomes, once again impossible to answer accurately. Acne scar revision is a sub-specialised field. For the best results, one should target the acne scar type with ideal treatments and not just one device. The web reference below will take you to a resource to help you understand acne scar revision at a specialist level. I embedded all the videos in one page to help.

For example deep ice pick scars, and narrow box car scars can be treated with TCA CROSS peels, mixed scars, rolling, and atrophic scars treated with fractional devices such as Fraxel, fractional lasers, PRP and INFINI radiofrequency. Atrophic scars (depressions) can be treated with either fat grafts, or with HA dermal fillers. Tethered and anchored scars are best treated with surgical techniques such as subcision. Other surgical techniques that we use include punch elevation, surgical elevation, punch excision and traditional excision of focal scars.

The majority of patients will have a collection of different scar types, and hence a tailored treatment METHOD will be best. Careful examination, especially under angled lighting with scar mapping will give you an understanding of what are the best options for your scars. In the majority of patients its finding the correct combination that give you best results, and everyone is unique! All the best,

Dr Davin Lim. Acne scar dermatologist specialist. Brisbane, Australia.