Hi. I'm a 30 year old female and my esthetician recommended subcision or punch excision with fillers and TCA cross for my scars. I'd like to ask doctors if those treatments will help, and how many treatments I need? Thank you.
March 4, 2020
Answer: Options for acne scarring... Hey there and good afternoon. I see that you have asked what could be done about the acne scars on your face. You would be a good candidate for dermabrasion. Unfortunately, any filler, or TCA would not make an impact for the results you are probably looking for. Some of your scars would do well with punch excision but that is something that would need to be evaluated in person. Good luck.
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March 4, 2020
Answer: Options for acne scarring... Hey there and good afternoon. I see that you have asked what could be done about the acne scars on your face. You would be a good candidate for dermabrasion. Unfortunately, any filler, or TCA would not make an impact for the results you are probably looking for. Some of your scars would do well with punch excision but that is something that would need to be evaluated in person. Good luck.
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March 2, 2020
Answer: Treatment of Acne Scars If you had only one or two scars, then dealing with each with subcision and fill would be reasonable. It is not reasonable, however, when you have as diffuse scarring as you have. Over many years, I have learned the best treatment for the scars you have is to lower the surface, instead of propping up the depressed scar, and then rebuilding collagen. To do this, I start everyone on hydroquinone and tretinoin. This starts rebuilding collagen, which you, at 30, are no longer doing, and controls the pigment cells so they do not react to the laser resurfacing done after about 6 weeks on the prep. I then continue the tretinoin.
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March 2, 2020
Answer: Treatment of Acne Scars If you had only one or two scars, then dealing with each with subcision and fill would be reasonable. It is not reasonable, however, when you have as diffuse scarring as you have. Over many years, I have learned the best treatment for the scars you have is to lower the surface, instead of propping up the depressed scar, and then rebuilding collagen. To do this, I start everyone on hydroquinone and tretinoin. This starts rebuilding collagen, which you, at 30, are no longer doing, and controls the pigment cells so they do not react to the laser resurfacing done after about 6 weeks on the prep. I then continue the tretinoin.
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