Shallow icepick scars with TCA Cross or Microneedling?

Question

I have some shallow ice pick scars that are pore size or tinny bit bigger . I had tca cross with success in the past but now i'm afraid since the scars arent deep i would get more scars from TCA Cross. I wanted to know if micro needling can help with shallow ice pick scars and if so how many treatments are usually needed?

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Phillip Chang, MD · Answer

Hi Guccgucc

Patients who used this procedure to treat acne scarring had assessed their treatment as ‘excellent’ and felt that their acne scars were visibly reduced. To learn more about this procedure, please visit our website.

Vibha Gambhir, MD · Answer

Hello and thank you for your question.  Microneedling is a great procedure to help improve the appearance of scarring.  Typically, patients need 3-5 treatments to start.  You will need to do maintenance treatments 1-2 x per year to maintain results.  Consider adding platelet rich plasma or PRP to 1 or 2 of your microneedling treatments.   Platelet rich plasma boosts the results of your procedure and decreases healing time. Hope this helps good luck to you!

Shallow icepick scars with TCA Cross or Microneedling?

Answers (3)

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