Does PRP with microneedling get worse before it gets better? (Photos)

Acne scars need a combination approach for improvement. For the best results, one should target the acne scar type. As everyone has a unique pattern of acne scarring, the best solution is a tailored one. Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision. Subcision for depressed tethered scars. Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif microneedling RF for textural issues and superficial scarring. Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision. All lasers are combined with microneedling and PRP to get even better results and improve healing times. The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician. It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome. Scars cannot be cured and will need life-long treatments to maintain and build on the results. Best, Dr. Emer

Thanks for your question. If you have scars with dermal adhesions, the swelling of the normal skin around the depressed scar may make it more noticeable immediately after treatment until the swelling settles down. If deeper, larger scars are your concern, microneedling as a single treatment option may not be your best bet. Sometimes the deep surface of scar tissue needs to be released to improve the skin surface. This is called subcision. Warm regards.

it appears that there is some shadowing in the pictures so it's hard to compare these two very accurately.That being said, science says that microneedling will not make scars worse but it does take time. It takes about 4 -6 weeks for your collagen to start remodelling while an intended injury to the skin takes about 6 -8 weeks to start repairing. It is best to continue with the treatment but there should be about 4 - 6 weeks between each treatment and  you may need more than three to four treatments to achieve optimal results. Also, please be aware that young scars will react well to microneedling while older scars such as any over  5 or 10 years are diffucult to treat with microneedling; however, laser resurfacing can be considered for older scars.