Is there any procedure that can be done in one-sitting o get rid of acne scars/holes/pits on the cheeks? (photos)

Question

Hi, Doc, I've acne, nail scars on both sides of cheeks & volume loss on the forehead (Brown mark). Since July I've taken three submissions & last week two fractional laser. I don't see any improvement except skin smoothness. Am curious is there any one sitting procedure like surgery to get rid of all acne, nail scars & injure scars. Old acne marks are not fading on the nose. Please guide to solve this & feel relax.

Jeff Rapaport, MD · Answer

Unfortunately, no single procedure will will remediate all your scars. You will need a combination of treatments. TCA cross for the pits, fillers for volume loss, subcision for saucer shaped scars, injections followed by ablative laser for your nose.  Alternative treatments Maybe suggested pending results. Multiple sessions will be necessary. Pre treatment with  cream is suggested based upon your skin type.  Find a scar expert.

Jeff Rapaport MD FAAD 
Realself Hall of Fame

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

​Acne scars need a combination approach for long-term improvement. Everyone has a unique pattern of acne scarring, and most people have various types of scars, so we create a tailored treatment plan for each patient. We often use:
- Injectable fillers like Bellafill and Sculptra (with or without subcision) for atrophic, indented scars. 
- Subcision for depressed, tethered scars. 
- Vascular lasers like Yellow laser, Aerolase, excel V, BBL, or IPL for redness or thick acne scars. 
- Lasers such as Fraxel, Erbium, CO2, Halo or fractional radiofrequency (Venus Viva, Skinfinity, Morpheus, PiXel8, Fractora, Intensif microneedling RF) for textural issues and superficial scarring. 
- TCA CROSS and punch excision for deep ice pick scars and narrow box car scars.

All lasers are combined with microneedling/PRP to improve the results and accelerate your healing time. Keep in mind that a personalized combination treatment by an expert physician will give you the improvement you're looking for. I recommend getting a formal evaluation with an experienced cosmetic dermatologist and acne scarring expert. Best, Dr. Emer. ​

Is there any procedure that can be done in one-sitting o get rid of acne scars/holes/pits on the cheeks? (photos)

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Is there any procedure that can be done in one-sitting o get rid of acne scars/holes/pits on the cheeks? (photos)

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Everything you need to know about Scar Removal Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.