Due to having lots of acne when I was a teenager, I have acne scars and enlarged pores on my nose and my nose gets scarred very easily. I have tried microneeding but I feel like it left me more scars instead. One doctor suggested me getting Co2 laser resurfacing and another one said Co2 doesn't work for this kind of scars but instead steroid injections(up to 6 treatments)will make scars less visible. Please let me know what you think. Thank you so much in advance.
December 30, 2017
Answer: Best treatment for acne scars I always advise patients to have steroid injections as a last resort. CO2 laser will not lift the deep art of the scar, but can be used to soften the edges or shoulders of the scar. It helps, but is not perfect. The purpose of microneedling is to try to release the scar tissue beneath the indentation which is pulling it downward. I would advise you to wait quite a few months (ideally a year) following the microneedling before deciding it didn't work.
Helpful 1 person found this helpful
December 30, 2017
Answer: Best treatment for acne scars I always advise patients to have steroid injections as a last resort. CO2 laser will not lift the deep art of the scar, but can be used to soften the edges or shoulders of the scar. It helps, but is not perfect. The purpose of microneedling is to try to release the scar tissue beneath the indentation which is pulling it downward. I would advise you to wait quite a few months (ideally a year) following the microneedling before deciding it didn't work.
Helpful 1 person found this helpful
December 30, 2017
Answer: TCA CROSS the erbium fully ablative laser Impossible to commit based upon the photo, I would have a best guess that TCA CROSS - 3 sessions followed by one session of erbium fully ablative should improve things by 80%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.
Helpful 2 people found this helpful
December 30, 2017
Answer: TCA CROSS the erbium fully ablative laser Impossible to commit based upon the photo, I would have a best guess that TCA CROSS - 3 sessions followed by one session of erbium fully ablative should improve things by 80%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.
Helpful 2 people found this helpful