Mix of scars - What’s the next best step? (photo)

Question

I have mix of can scar types notability ice pick scars,boxscars. I have had the Quattro ( subscision, filler, tca and laser) session with dr rullan two years ago. I’d say I saw a bit of softening in the scars but not much filling of them. I also found my scarring to remain red even after the two years ( when I tan, they still remain red). In any case, what is the next best step

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Mix of scars - What’s the next best step? (photo)

Answers (1)