I have dilated pores, icepick & boxcar scarring. Finished Accutane 2 mo ago- now looking into scar treatments. What should my plan be? TCA Cross or Infini first? Are my scars deep/narrow enough for TCA? Can I do it w/ a toothpick w/ caution? What %? For RF needling, does it matter whether it's Infini/Intracel? Intracel is by a more experienced Dr. Should I treat full face or only target areas? Can I treat my undereye? Are there better alternatives for my issues? When do I start topical Vit A?
Answer: Ice pick scars, small box cars, dilated pores in darker skin; Englewood Cliffs New Jersey In my opinion, it is difficult to precisely view your scars from the photos. It looks like you have ice picks, narrow boxcars, large pores and a saucer shaped scars. My initial treatment would be with TCA cross. It's important because of your skin color to pre-treat with bleaching creams. Depending upon the results of the TCA cross, subcision, PRP, fractionated laser and infini can be performed. Find an find an acne scar expert. Ask to see photos.
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Answer: Ice pick scars, small box cars, dilated pores in darker skin; Englewood Cliffs New Jersey In my opinion, it is difficult to precisely view your scars from the photos. It looks like you have ice picks, narrow boxcars, large pores and a saucer shaped scars. My initial treatment would be with TCA cross. It's important because of your skin color to pre-treat with bleaching creams. Depending upon the results of the TCA cross, subcision, PRP, fractionated laser and infini can be performed. Find an find an acne scar expert. Ask to see photos.
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Answer: TCA combined with a resurfacing laser such as CO2 and Resurfx can help minimize appearance of these scars 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.
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Answer: TCA combined with a resurfacing laser such as CO2 and Resurfx can help minimize appearance of these scars 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.
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March 27, 2018
Answer: Improving acne scars with lasers, microneedling/prp, TCA cross, punch excision, fillers, Cosmelan A combination approach will give the most improvement. These types of scars need a combination of lasers, microneedling/prp, Cosmelan, TCA cross, punch excision and fillers. Infini is a popular treatment, but I prefer Intensif because the needles are non-insulated and it gives more robust results. It will take a series of treatments and will need life-long treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer
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March 27, 2018
Answer: Improving acne scars with lasers, microneedling/prp, TCA cross, punch excision, fillers, Cosmelan A combination approach will give the most improvement. These types of scars need a combination of lasers, microneedling/prp, Cosmelan, TCA cross, punch excision and fillers. Infini is a popular treatment, but I prefer Intensif because the needles are non-insulated and it gives more robust results. It will take a series of treatments and will need life-long treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer
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April 11, 2020
Answer: TCA CROSS and low density CO2. 100% agree with Dr Rapaport, TCA CROSS will be my first pick, I often combine this with very low density CO2. You may get some PIH given your skin type from the TCA but that can be reduced with HQ .2-3 sessions the re-evaluate for other procedures as described.
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April 11, 2020
Answer: TCA CROSS and low density CO2. 100% agree with Dr Rapaport, TCA CROSS will be my first pick, I often combine this with very low density CO2. You may get some PIH given your skin type from the TCA but that can be reduced with HQ .2-3 sessions the re-evaluate for other procedures as described.
Helpful 1 person found this helpful
