What is the ideal length of time between subcision and fractional CO2 laser treatment for acne scars?

Hi Docs,

I have some mild to moderate rolling scars on my cheeks. I have done 2 sessions (Sep 2017 & Oct 2017) of subcision with some improvement (~30%). I was advised to do fractional CO2 asap next. My questions are:

  1. Does the amount of time between the subcision and fractional CO2 session affect the fractional CO2 effectiveness? I was told that I have to do the CO2 as soon as possible, or at least within 6 months, otherwise it will be less effective.
  2. Besides hyper-pigmentation, what are the risks of fractional CO2?

Whatsapp

Thank you for your questions. Dr Chua and Dr Lee have answered your questions well.

Unfortunately, there is no fixed protocol for doctors to treat acne scars. Understanding patient’s existing medical and skin conditions, severity of the acne scars, healing ability, and affordability of downtime is crucial.

This will lead to customisation of treatment plan using appropriate tools, to achieve good results.

A few things that I have learnt from my previous years of experience.

  1. Control your acne first before fixing your scars
  2. Different type of acne scars need different type of treatment
  3. Younger patients respond to acne scar treatment better
  4. Combination treatments give better results

Listed below are a few ways to treat mild to moderate rolling acne scars.

  1. Subcision
  2. Dermal fillers
  3. Fractional CO2/erbium glass/thulium/picosecond lasers
  4. Radiofrequency microneedling

I do combine subcision, dermal fillers and fractional lasers in one session for some of my cases. Not all the clinics will have the above mentioned tools.

Please discuss with your doctor regarding pros and cons of available treatments, estimated downtime and cost for the procedures.

All the best!


Dr Lim Ming Yee
MBBS

MY Medical Aesthetics

MY Medical Aesthetics

108 Middle Road #03-03/04
Bernhard Schulte House Singapore 188967


4076 views 24 Jan 2018
Not the question you're looking for? Browse other questions tagged Acne & Scars Aesthetic Medicine Laser Treatment Laser Treatment or ask your own question now FOR FREE.
Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

Continue with Facebook Continue with Google

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO