I plan to have subcision done by a different doctor than my laser treatment, that's why I can't do it on the same day. Would like to know if the results will be less effective if the subcision is done several days or weeks before the laser vs. having both done on the same day? Also, how important is subcision in combination with laser for correcting rolling scars? Will laser do anything on its own or is subcision necessary to see good results? How long is the skin bruised/swollen from subcision?
Answer: Combination with subcision and laser Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne scars require a combination approach using our HIDEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of acne scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic acne scars and indented acne scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be been improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional laser such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone.
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Answer: Combination with subcision and laser Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne scars require a combination approach using our HIDEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of acne scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic acne scars and indented acne scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be been improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional laser such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone.
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August 10, 2017
Answer: Improving rolling scars with lasers and subcision--add microneedling/prp, fillers, Cosmelan This should be fine, but I recommend following up with your Doctor about their recommended timeline. Yes, a combination approach will give the most improvement to rolling scars. These types of scars need a combination of lasers, microneedling/prp, Cosmelan, subcision and fillers. It will take a series of treatments and may need some treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer
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August 10, 2017
Answer: Improving rolling scars with lasers and subcision--add microneedling/prp, fillers, Cosmelan This should be fine, but I recommend following up with your Doctor about their recommended timeline. Yes, a combination approach will give the most improvement to rolling scars. These types of scars need a combination of lasers, microneedling/prp, Cosmelan, subcision and fillers. It will take a series of treatments and may need some treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer
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August 14, 2017
Answer: Timing of subcision and fractional laser Subcision alone is not a powerful treatment for acne scarring which is why it is usually combined with other modalities such as filler, laser, dermabrasion or peels. I would choose the same doctor to perform both modalities (subcision and laser) as the physician who performs the subcision will have very little "skin in the game" (excuse the pun) while you will likely hold the physician who performs the laser accountable for the final clinical result.
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August 14, 2017
Answer: Timing of subcision and fractional laser Subcision alone is not a powerful treatment for acne scarring which is why it is usually combined with other modalities such as filler, laser, dermabrasion or peels. I would choose the same doctor to perform both modalities (subcision and laser) as the physician who performs the subcision will have very little "skin in the game" (excuse the pun) while you will likely hold the physician who performs the laser accountable for the final clinical result.
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August 11, 2017
Answer: You'll be fine Yes, generally, lasers are also required for best results. Each are doing their own work with different targets.
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August 11, 2017
Answer: You'll be fine Yes, generally, lasers are also required for best results. Each are doing their own work with different targets.
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August 20, 2017
Answer: Yes, in fact both can be combined. For tethered and rolling scars, subcision is the stand out procedure, most often I combine this with CO2 high energy, but low density - namely DEEP CO2 if downtime is not an issue. All the questions and more answered in the web reference below- it really depends on your scar type and tissue response.
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August 20, 2017
Answer: Yes, in fact both can be combined. For tethered and rolling scars, subcision is the stand out procedure, most often I combine this with CO2 high energy, but low density - namely DEEP CO2 if downtime is not an issue. All the questions and more answered in the web reference below- it really depends on your scar type and tissue response.
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