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Jacksullivan

Whats the best way to get rid of these?

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Posted

Does anyone know what the best way to handle this is? Microneedling? Peels?

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Posted

Hi there,

These are boxcars and icepicks. 

The icepicks need tca cross, and the box cars need paint on method (3x coats) to the scar floor. 

You could get something like the Derminator (Google) or a dermastamp and stamp them once a month and alternate with peels first before Dr's treatments if you wish. 

RF needling is good for boxcars, do a few sessions of this. RF needling is more like a laser.

You could also do 1927nm Fraxel in Full desnity mode or CO2 laser if needed.

Several TCA peels can be done, or Dr Rullan could take care of this with a deep peel.

Use nightly: Retin-a or tretinorin(prescription), or Differin (Target/Walmart), The Ordinary Granactive Retinoid (if you can't get the above). Cureology(USA) & Yoderm(USA) provides online prescriptions with customized skin care creams for your concerns, those in UK Dermatica provides the same thing. Apply a moisturizer when your face is dripping wet. Wait 5 minutes for it to dry, and then apply the tretinoin. This cuts down on irritation, you can also skip days of application if it's irritating and you need to build up %. This provides skin turnover - new collagen. To prevent (reds & browns from all Dr-treatments to ethnic skin or to work on current skin discoloration), try PCA hydroquione free gel for Hyperpigmentaion (Amazon) or Cureology/Dermatica includes this in their products if ordered. Using this prevents hyperpigmentation from treatments. Hydroquinone has side effects for some people, natural option as listed above is better or ingredients kojic acid/Konjac and skin lightener ingredients, like Niacinamide by The Ordinary is great for pores and discoloration as well. The Ordinary, Cerave, Eucerin, Dr Sam Bunting Flawless Cleanser, and Acne.org's products are all great options for moisturizers and cleaners without fragrance / dyes / allergens. Sunscreen is a must (for the sensitive use zinc only physical ones)! 

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