Laser Resurfacing Reviews
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Scar treatment summary (307 votes) |
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Anonymous, la Apr 13th, 2006 |
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I found some imformation about acne scar, hope this detail can help you;
question: Sir,
My daugther is 18 and has had acne since 14. Accutane (Acnotin) is helping a great deal and keeps it under control. She stands a good chance at a modeling career and has even taken part in various beauty contests, sadly however the scars on her cheeks and back are too visible.There are so many pros and cons regarding the different types of treatments for acne scars and I feel lost what would be best suited for her, microderabrasion, dermabrasion, various laser treatments and someone has even suggested skin needling. I wouldn't risk anything before hearing a qualified doctor's opinion. Please reply in Thai if you prefer and thank you very much for your advise.
Best regards
Abin Answer: Here are facts about management of acne scars:
Acne scars should be managed when active acne has subsided Acne scars are complex, there will be different type of scars on the same location. Management has to be adjusted for each type of scar There are three major methods of treatment: 4.1 Surgery or laser resurfacing : Pitted scars >> punch excision Fibrotic boxcar scars >> Laser resurfacing ( CO2 ) or dermabrasion Shallow rolling scars >> Subcision Hypertrophic /keloids >> scar excision, Laser resurfacing
4.2 Nonablative laser resurfacing: Telangiectatic red scars >> IPL or Pulse dye laser Shallow rollings scars >> Microdermabrrasion, Long-pulsed infrared laser ( e.g Cool touch, Mydon, Smoothbeam, Aramis etc) Hypertrophic scars >> Pulse dye laser or Nd:YAG laser
4.3 Chemical: shallow rolling scars >> Trichloroacetic acid application, Filler substance injections Iontophoresis with vitamin A
In conclusion, most of the patients require more than one method of treatment. Each treatment when correctly performed will produce some improvement. But one thing is certain, whatever we do we will not get 100 % result. The best combination treatment will produce 70-80 % improvement.
Clin Prof Dr.Niwat Polnikorn Kasemrad Aesthetics Center Kasemrad Prachacheun Hospital
And he still said the best result for acne scar like rolling scar or box scar is subcision + Thermal mode Erbium YAG or Long-pulsed Nd: YAG (mydon)
The best dark spot from acne is IPL
Hope this can help
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