Should I go for CO2 laser? (Photo)

Question

I have done 2 sessions of microneedling with prp and 1 session of subscion combined wih microneedling. I have not seen any promising improvement in my scars. Now doctor is saying go for co2 laser. Should i go for it or not?

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Yes, considering CO2 laser treatment could be a beneficial next step for improving your scars, especially since you've already tried microneedling with PRP and subcision without significant results. CO2 laser resurfacing is known for its effectiveness in targeting deeper skin issues, such as scars, by promoting collagen remodeling and improving skin texture. It can provide more dramatic improvements than microneedling alone, particularly for atrophic scars. I hope this helps and best of luck!

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