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MESSAGES TO
Acne Scar Treatments

Acne Scar Treatments

A DxD Session with Dr Justin Boey


Ended on Fri Mar 15 2019
Ended
Have a question to ask?

Get Dr Justin Boey's opinions on your questions! Only approved questions are displayed.

Top Answers


Hi,

Yes, there are several types of treatments that can help with acne scars at your trunk - chest, back, shoulders.

For depressed acne scars, you can consider INFINI, Fractional CO2 or Subcision. These treatments are effective if used singly but give best results if used in combination. Fractional CO2 and INFINI work by stimulating new collagen production to remodel acne scars. Subcision helps to free up tethered scars.

These treatments are also similar to treatments for acne scars affecting the face. The difference is that the healing/ recovery times for acne scar treatments at non-face regions are slightly prolonged. 

For the best acne scar treatments for your acne scars, you can refer to this Guide to Acne Scar Treatments in Singapore.

29 Jan 2019

Hi there! Don't worry, there are many proven ways to improve your acne scars and skin complexion!

Subcision with fillers like hyaluronic acid or PDRN (Rejuran) can certainly help to improve your acne scars dramatically with visible improvements every treatment session. 

Usually at least 3-5 treatment sessions are required for good results, especially if you have deeper or wide area of scarring.

To get even better results for acne scar removal, I usually combine subcision + fillers with energy-based treatments like lasers (CO2 Fractional Laser/Pico Fractional Lasers) and radio-frequency microneedling (INFINI, Intracel) to enhance collagen stimulation and scar remodelling.

However, do note that not every type of acne scar will respond as well to subcision and filler. Rolling atrophic scars tend to respond well to subcision. 

For other types of acne scars like ice pick acne scars, other treatments like TCA cross deep chemical peel might also be more suitable. 

The key to good acne scar improvement is to use the appropriate treatment for each type of acne scar.

For more information on acne scar treatment costs in Singapore.

Hope that this helps!

10 Feb 2019

The ideal acne scar removal treatment plan consists of using a synergistic combination of acne scar lasers and manual techniques over multiple treatment sessions with good post-treatment after-care

While CO2 Fractional Laser might have been the acne removal laser treatment of choice for the past few years, many patients and doctors have found that just using CO2 Fractional Lasers (like Fraxel, SmartXide, ECO2, EDGE) alone is insufficient to produce significant results.

The latest acne scar removal treatment plans often have the following factors:

1. Comprehensive Diagnosis of Acne Scars

- Precise diagnosis leads to comprehensive treatments, which leads to optimal results.

- This is because not every acne scar will improve with CO2 Fractional Laser. 

- In fact, ice-pick acne scars might have minimal improvement with CO2 Fractional Laser and hypertrophic acne scars (common at the jaw-line) might even worsen with CO2 Lasers.

- There are 3 big categories of acne scars:

Atrophic (depressed) scars: Box-car acne scars, Rolling scars, Ice-pick scars

Hypertrophic scars: Keloids

Colored scars: Post-inflammatory hyperpigmentation (brown marks), Post-inflammatory erythema (red marks).

- Most patients have a MIX of different types of acne scars, which brings me to my next point.

2. Combination treatments give optimal results

If you have a mix of different types of acne scars, you will need a combination of treatments beyond just CO2 Lasers alone. 

Other treatments include: Subcision +/- Fillers, INFINI/ Intracel Radiofrequency Micro-needling, TCA Cross deep chemical peel.

3. Quality Post-treatment Care

All the aforementioned laser treatments are focused at causing "controlled injury" to your skin so that your skin will heal with new and hopefully perfect skin.

However, perfect skin healing is often not the case. In fact, skin that scars easily from acne is prone to poor wound healing. 

To improve healing, we use recovery serums like Calecim and AnteAge. 

In addition, we might also use Rejuran to improve collagen production so that you get the most out of your laser treatments.

For more information on Acne Scar Treatment Costs in Singapore.

Hope that this helps!

Warmest regards,

Dr Justin Boey 

10 Feb 2019

Hi,

Thank you for your enquiry. There are several treatments for your acne scars.

You have mixed types of acne scars consisting of box-car acne scars, rolling acne scars and a few ice-pick scars.

I routinely use a combination of energy-based devices (CO2 Fractional Lasers, INFINI RF, Pico Fractional Lasers), Subcision, Rejuran and TCA Cross to treat acne scars.

A few points to note regarding acne scar treatments in Singapore:

1. A Combination of Treatments are required for best results

- there is no 1 perfect treatment that can treat all types of scars.

- a combination of treatments are required to treat these scars comprehensively and effectively.

2. Several treatment sessions are usually required.

This is because collagen production and scar remodelling occurs over several treatment sessions.

3. Post-treatment aftercare is as important as the treatment itself

For more information on acne scar treatment prices in Singapore, you can refer to this guide.

Hope that this helps!

13 Feb 2019

Hi!

Thank you for your question and photos.

From your photos, you have a combination of acne scars - you have depressed scars (ice pick acne scars, box-scar acne scars) and post-inflammatory erythema (red marks).

It is best to treat these acne scars early and to take preventive measures to avoid having new acne outbreaks.

For depressed scars, fractional laser treatments and subcision would help. 

Common fractional lasers are CO2 Laser, Erbium lasers. These fractional lasers help to stimulate collagen, which helps with scar remodelling. 

Subcision is a minor skin procedure that helps to lift up tethered scars (scars that are stuck down).

For post-inflammatory erythema, I suggest vascular lasers like pulsed dye lasers or yellow lasers (pro yellow, dual yellow). 

In my practice, I usually combine several lasers and subcision to optimise acne scar results. 

Hope that this helps!

Warmest regards,

Dr Justin Boey

19 Feb 2019

Hi,

Severe acne scars can be improved and smoothened to a significant extent - improvement by a few grades on the acne severity score or up to 80% improvement.  

Your acne scar types are rolling and box car acne scars.

The most suitable treatments to give you good results are:

1. Subcision with collagen stimulating fillers - To release tethered (held down) scars and to stimulate collagen production

2. Fractional Laser resurfacing (eg CO2/Erbium fractional lasers like Edge Fractional CO2 lasers)

3. RF micro-needling (eg Infini, Intracel)

Several treatment sessions are required and I use a combination of these treatments in each session to give faster results.

Each of these treatments works synergistically.

I suggest a face to face consult with a doctor who focuses on acne scars treatment for an accurate treatment plan.

Hope this helps!

Warmest regards,

Dr Justin Boey

22 Feb 2019

Hi,

You have a combination of shallow rolling and box car acne scars. These can be improved and smoothened to a large extent - improvement by a few grades on the acne severity score.

I begin acne scar treatments start with diagnosis of your scar type, skin type and ability to handle down-time (recovery time). 

The most suitable treatments to give you good results are:

1. Subcision with collagen stimulating fillers - To release tethered (held down) scars and to stimulate collagen production

2. Fractional Laser resurfacing (eg CO2 fractional lasers like Edge Fractional CO2 lasers)

3. TCA Cross chemical peel. 

4. RF micro-needling (eg Infini - if you are looking for a very short downtime option - downtime of 1 day)

Several treatment sessions are required (4-6 sessions) and I use a combination of acne scar treatments in each session to give faster results.

Each of these treatments works synergistically to give you best results.

I suggest a face to face consult with a doctor who focuses on acne scars treatment for an accurate treatment plan.

Hope this helps!

Warmest regards,

Dr Justin Boey

4 Mar 2019

Hi,

Moderate acne scars can be improved and smoothened to a significant extent - improvement by a few grades on the acne severity score or up to 80% improvement. 

Acne scar treatments start with diagnosis of your scar type, skin type and ability to handle down-time (recovery time). 

Your acne scar types are a mix of ice-pick scars, rolling acne scars and box car acne scars.

The most suitable treatments to give you good results are:

1. Subcision with collagen stimulating fillers - To release tethered (held down) scars and to stimulate collagen production

2. Fractional Laser resurfacing (eg CO2/Erbium fractional lasers like Edge Fractional CO2 lasers)

3. RF micro-needling (eg Infini, Intracel)

Several treatment sessions are required and I use a combination of acne scar treatments in each session to give faster results.

Each of these treatments works synergistically.

I suggest a face to face consult with a doctor who focuses on acne scars treatment for an accurate treatment plan.

Side note: you might want to go easy on facial extractions as aggressive facial extractions might cause scars or worsen facial acne scars!

Hope this helps!

Warmest regards,

Dr Justin Boey

4 Mar 2019

Top Questions


I’m currently taking Oratane to control sebum on my face. I would like to seek your advise if there’s any other alternative which will help treat very oily skin. Please advise. Thank you. 

Will subcision help to fix the uneven complexion at my cheeks? How much improvement can I expect? I've tried chemical peels and CO fractional lasers but did not see much improvement. Thank you.

I’m 23 years old. I've been getting an increased number of breakouts on my cheeks. They leave red scars that won’t go away. How do I get rid of these red scars and marks from pimples? 

I had acne when I was 18. They left atrophic acne scars that have not improved with CO2 laser and microneedle RF.

I am a 26-year-old who just gave birth 5 months ago. After giving birth, I have been suffering from painful cysts all over my body ranging from small red ones to big ones with pus. I would like to learn about the recommended treatment suitable for nursing mums, as I would like to continue nursing if possible.