Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.
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. Best, Dr. Karamanoukian Realself100 Surgeon
Ask your dermatologist if you should discontinue your adapalene and if so for how long before and after a scheduled peel. You may not have to stop before a light glycolic or salicylic acid peel, but would likely want to stop a few days to a week before a medium TCA or Jessner/TCA. If you are scheduled at a spa or with an aesthetician, its best to stop retinoids like adapalene a week prior to your appointment and be sure to let her know you've been using it so she can adjust the concentration and/or length of exposure time and/or passes of acid applied.
This is an interesting question. It is hard to give a very specific answerwithout seeing your scars, knowing how long you have had them and what type ofscarring you have (rolling, pitted, ice pick, etc.). You mention that you are on adapalene. This is actually a medication of activeacne. Certain peels can help with activeacne. If you actually have scars that have been there for sometime then a filler is one of the most effective way to improve them. The FDA approved filler that works great forrolling acne scars is Bellafill. Sometimes a treatment like excision and another treatment calledsubcision are necessary as well.I hope that helps.Best regards.