Fraxel or PRP microneedling for acne scars?

Question

I've had these "holes" on the left cheek area for many years due to past acne. I tried to use lighting that gives the best visual of the scarring as it tends to look better in other lighting. I've been told in person that the affected area consists of very shallow icepick scars and/or scarred pores. The area is about half the length of my index finger. What would work best for this - fraxel or microneedling with PRP?

Jason Emer, MD · Answer

A combination approach is needed for this type of scarring. I recommend lasers, microneedling/prp, TCA cross, punch excision and fillers. It will take a series of treatments for improvement. See an expert for a formal evaluation. Best, Dr. Emer

Monika Soni, MD · Answer

I believe that you would benefit the most from combination of treatments including laser, microneedling and microdermabrasion. You may need some fillers. It is hard to tell just by looking at this picture. This would minimize your scars and improve your skin texture and appearance. I advise you to make an appointment with board certified provider to get examined and to discuss your options. Good luck!

Hardik Soni, MD · Answer

I believe that you would benefit the most from combination of treatments including laser, microneedling and microdermabrasion. You may need some fillers. It is hard to tell just by looking at this picture. The combination of treatments would minimize your scars and improve your skin texture and appearance. I advise you to make an appointment with board certified provider to get examined and to discuss your options. Good luck!

Roy G. Geronemus, MD · Answer

All patients are asked to come for a consultation appointment for evaluation.  There are many different technologies available for the treatment of acne scars.  We perform Fraxel and PRP in this office. 
Some techniques that have minimal to no downtime include the Fraxel Dual laser, PicoSure, Clear + Brilliant , Permea, and the Q-switched Nd:YAG laser. More downtime is seen with the Fraxel Re:pair laser as well as the Active FX and Deep FX

Richard Ort, MD · Answer

I would likely start wtih TCA CROSS for these scars before using any devices such as laser or microneedling.  I've been performing TCA CROSS for over a decade and this procedure has proven itself as an effective and safe treatment in skilled hands.Regards,Dr. Ort

Steven F. Weiner, MD · Answer

I would treat these acne scars with TCA cross and Infini. I have found this to be better than Fraxel. You can add PRP but I don't know if it is beneficial or not. The microneedling is only about 1/5 - 1/10th as effective as the Infini.

Michele S. Green, MD · Answer

The photos show extensive acne scars and it may take a combination of treatments to have the best results including fillers.  Both Fraxel and PRP with microneeding can help with these types of scars.  I would consult an expert for these type of scars and lasers and have an in person consultation.  Best, Dr. Green

Fraxel or PRP microneedling for acne scars?

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