Which acne scar treatment options are best for correcting uneven skin tone and skin texture? (photo)

Doctor's Answer

When I saw your picture, I think the main concern you would have is the textural uneven-ness that has occured due to the past acne flares. As such my preference would be to first treat the un-even appearance and slowly work it towards the surface imperfections.

1) Subcision with some filler placement (preferably Radiesse) is one of my favourite treatments as the breaking of deep scars and plumping up through filler placement would result in a more even appearance

2) Intersperse that with Fractional CO2 treatments which would aid in collagen synthesis and also improve the surface imperfections. However I would caution against close intervals AND too many sessions as I have seen a fair number of patients with sensitive/raw looking skin post laser.

3) Some TCA Cross for the icepick scars,

4) Adding some Q switch with suitable topical products would help reduce the redness/PIE from the acne flares.

However please be cautioned that scars can maximally only improve 75-85 percent, so expectations must be moderated by the doctor together with the patient.

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