I think any benefit with lasers for acne scarring will be even less long lasting than for wrinkles as the problem is much deeper. All the best.
I replied thusly:
Hey Dr. Garcia, Thank for answering my questions so quickly. Why are lasers only temporary? If the point is to make new collagen, why doesn`t this collagen last?
And he replied:
be cause the body`s aging process, environmental causes, personal habits such as smoking or sun exposure are constantly breaking down collagen. Usually the amount of collagen formed form laser, especially fractional lasers is minimal and it is quickly gone.
So far, this is the third person, and the second doctor, I've heard from that said the process is not permanent. The first person was a random doctor comment on RealSelf.com, who also claimed that no laser procedure is permanent. The second person was a nurse who worked at a dermatologist's office I was scoping out, and she said that it was not permanent either. Nobody elaborated on timeframe.
This is strange to me because I've heard a lot of evidence to the contrary.
My personal dermatologist claimed that collagen does, indeed, break down over time, but that it breaks down the same way collagen would break down as you get older and thus skin sags and scars do not return in the same form as before, if at all. He said I should not worry about it until I'm, say, seventy. Many other dermatologists have also said the process is permanent, though they did not elaborate into as much detail as my own dermatologist did.
I've also spoken to people who've had laser resurfacing procedures, their last treatment having been done over a year ago, and they still have their same results, meaning it seems to last.
From the trend I've seen, it seems plastic surgeons don't think laser resurfacing works while most dermatologists believe they do. I'm not entirely sure what that means.
Anyway, if you'd like to see the actual thread and questions I asked, here's the link: http://www.lvcosmeti...m/QandAPost.asp
I am not saying this to discourage people from taking laser resurfacing (I'm currently doing it myself). It's just kind of startling information to hear when there didn't seem to be much evidence to the contrary.
EDIT: More correspondence.
Hello again Dr. Garcia, If you do not think laser resurfacing is a good option for acne scarring, what do you think is a suitable option, other than fillers? Especially for texture, because that is what I am concerned with most. I am less annoyed by the random pits as I am by the texture of my skin due to some of the more superficial scars.
well, I do think lasers are OK for acne scarring in pale skinned patients, but not in fair skinned Latinos, Asians or African Americans.
EDIT: Even more correspondence.
Dear Dr. Garcia, Again, thank you for taking this time to answer my questions. I am Asian with acne scars, and since you don`t believe laser resurfacing is a good option for Asians with acne scars, what do you think would be a good option? I personally don`t like the idea of fillers, and I can`t really think of any other methods that do not cause permanent hyperpigmentation.
well, the honest answer is that there is not much that will help, doing a skin only facelift was an option in the old days, the acne scars do look better with the tension on the skin, but over time, the skin relaxes and the textural differences come back. Along with that, you will have the scars from the cheek or facelift.
Edited by DRaGZ, 09 January 2012 - 07:25 PM.