Would the microneedle procedure work for my acne scars? How much treatment do I need for the type of scars I have? (Photo)
Doctor Answers 6
Subcision Combined With Microneedling Can Work Well For Acne Scarring
Unfortunately, to date, the results of expensive laser treatments, including fraxels and IPL, for the treatment of acne scarring have been variable and unpredictable and appear to be a whole lot more device manufacturer supported marketing hype than hard science.
Subcision is a technique used for deeper, depressed scars, such as appear to be the case here. A cutting needle is inserted, under local anesthesia, under each depression to break up the abnormal tethering scar bonds below the surface. This allows the base of the scar to "float" upwards to become flush with the surface. Meanwhile the blood and tissue fluid that accumulate below to fill the newly created space spurs wound healing and hence new collagen synthesis--a process that results in permanent improvement of the scar. Two four treatment sessions are also required for subcision in order to achieve maximal correction.
I typically inject a volumizing filler at the time of treatment for two reasons. For one, the volumizers provides immediate visible improvement. For another, the presence of the volumizing filler further stimulates new collagen formation.
Consultation with a board certified aesthetic physician with extensive experience and expertise in the treatment of acne scarring is strongly urged.
Monthly regimen of microneedling, subscision, and peels is an easy solution.
Microneedling for Acne Scars
Micro needling significantly improves the absorption and efficacy of all topical skin care products. It stimulates blood circulation and collagen production by over 1,000%. You can consider having micro needling treatment as it works well on scars and wrinkles. You will likely need at least 5 sessions of microneedling. You may also need filler injections to fill in any remaining pits.
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Fractional laser resurfacing is what you need for acne scars and you are probably going to need 2-3 visits to achieve good results. A deep resurfacing would also be required on the cheeks, on the order of 500-1000 microns deep. Anything superficial will not benefit you.
When fractional laser resurfacing is performed, the laser light strikes the skin, creating heat and vaporizing the skin tissue in a column like shape. The method drills tiny holes in the skin and at each penetration, scar tissue is removed and replaced by new collagen. This method is altogether different than a microneedling procedure because in microneedling, no scar tissue is removed.
To see examples of Signal Hill, CA patients that have had fractional laser resurfacing for acne scars, click on the link below.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.