Question
Hi,
For all treatment modalities including Fraxel laser and subcision, failure of clinical response is well recognized despite the use of the right procedure and appropriate treatment parameters.
A full assessment by your attending doctor is probably needed to review treatment parameters and to determine if alternative acne scar treatment methods such as scar revision surgery is required for the poorly responsive acne scars.
Hope this helps!
Hi there,
The most important factor before the start of any acne scar treatment is determining the type of scar(s) that we are dealing with. Different scar types will require different treatment modalities as not all scar types will have the same response to a particular treatment.
For eg. some scars will respond well to Fractional Lasers whilst others may not.
Secondly, machine based treatments (fractional lasers/ RF etc) have hundreds of different settings and results are generally dependent on effective settings used and the method of administering these treatments. Same goes for subscision.
Hope that helps.
All the best!
A multimodal approach is often needed to remove acne scars. These can include: subcision TCA CROSS and punch excision with microsurgery apart from laser treatments Acne scars can be depressed or raised, with or without discoloration. Examples of depressed scars are ice pick scars, box scars and rolling scars. Raised scars are called hypertrophic or keloid scars, which result from an overproduction of collagen. Sometimes, a red or brown discoloration remains after acne has healed, and these are called post-inflammatory erythema (red) and post-inflammatory hyperpigmentation (brown).
Hi, Realistically, 25-50% improvement will be achievable with combination acne scar therapy (these include subcision, scar revision, fractional CO2 lasering, fractional microneedle RF and fractional picosecond lasering) for moderately severe acne. Generally, after treatment, scars will still be present but will look less obvious, less deep and less craggy. Complete removal of acne scars is not possible even with repeated treatments and with the “best” treatments. Hope this helps!
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