Will a TCA peel alone get rid of these acne scars? Do I need other treatments? If so, what kinds and how many sessions? (Photo)

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

A combination approach will give the most improvement. These types of scars need a combination of lasers, microneedling/prp, TCA cross, Cosmelan, punch excision and fillers. It will take a series of treatments and may need life-long treatments to maintain. recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer

I am sorry about your scars.  There is nothing available that will completely get rid of your scars.  However, a combination of various treatments should soften and improve the majority of them.  I recommend starting with a series of microneedling treatments combined with PRP (protein rich plasma).  After that, you may need to consider either having filler injected into the deeper ones/surgical excision/CO2 lasers and/or strong peels such as the TCA.I recommend scheduling a consultation with a physician who specializes in aesthetic medicine.Best of luck to you.