What to do for acne scars when CO2 is not working anymore?

Question

Hi, I am a patient with acne scars. During the last 20 years I have tried all sort of treatments, subcisions, peeling (gluycolic, jessner, etc), and more than 10 sessions of different C02 lasers. My skin has improved a lot with the various treatments but there is still plenty of room for improvement. My problem is that the last 5 C02 sessions are not showing big results apart from giving a nice colour to the skin. What to do next to continue improving my acne scars? I was thinking of Fenol peel

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. ​

Anshul Gambhir, MD · Answer

Thank you for your question! If you haven't tried it yet, you could always try microneedling with PRP for the scarring. This can help to stimulate collagen growth and resurface the scarring. The PRP helps to promote healing and collagen growth as well to boost your results from just microneedling alone. Hope this helps!

What to do for acne scars when CO2 is not working anymore?

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What to do for acne scars when CO2 is not working anymore?

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Everything you need to know about CO2 Laser

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