Combination of modalities to treat minor acne scars?

Question

Hi 64 male relatively good health no chronic conditions I’m interested in face procedures but non invasive ones Fraxel Repair FaceTite Ultherapy There is overlap and perhaps contraindications on combination therapy but I’d like to treat the sagging and some minor acne scars and age related areas on my face and neck. The only surgical procedure I am interested in is genioasty or mentsplasty but no implants strictly autograft or osteotomy . Thank you

Raffy Karamanoukian, MD, FACS · Answer

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best,
Dr. Raffy Karamanoukian
Realself100 Surgeon

Best, 
Dr. Raffy Karamanoukian
Realself100 Surgeon

Michael A. Persky, MD · Answer

Hello D,
I often treat patients with multiple non-surgical modalities at the same treatment session.  Fraxel repair can be used in combination with Ultherapy as well as with Profound RF.  I encourage my patients to also have structural support treatment with Sculptra at the same time.  Combination therapy results in natural rejuvenated great outcomes.  Please feel free to contact me for a virtual or in person consultation at your convenience.  Make sure to choose your treating physician carefully.  Good luck and be well.
Michael Persky, MD
Encino, CA

Combination of modalities to treat minor acne scars?

Answers (2)