I don't have a lot of money to spare (<$1,100 total, preferably <$500 total) for permanent results. I got these scars from a psychiatric med from hell, which I've been off of for 6 months with good results, so the acne's never coming back. It's possible I have a form of Ehlers-Danlos Syndrome which somehow affects how collagen functions in my body. I'm not sure how, though, so would this impact which methods I'd need? What strength of peel would I need? What kinds of acne scars are these?
August 23, 2017
Answer: Difficult scars to treat, TCA not indicated for these scars as first line management. Subcsion with microneedling RF , vertical needling with Botox will give you better results. The expert in FL is Dr Steve Weiner. I would not use a TCA peel for these type of acne scars (tethered and rolling with areas of atrophy) 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 1 person found this helpful
August 23, 2017
Answer: Difficult scars to treat, TCA not indicated for these scars as first line management. Subcsion with microneedling RF , vertical needling with Botox will give you better results. The expert in FL is Dr Steve Weiner. I would not use a TCA peel for these type of acne scars (tethered and rolling with areas of atrophy) 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 1 person found this helpful