How to reduce these acne scars

[Adroit dexter 0]

Hi, I have been taking treatment of acne scars since 4 months.. First and second treatment was mnrf but I don't see any improvement after that third and fourth was dermapen + prp + subcision... I have mostly rolling scars so now I'm planning to take an treatment of dermal fillers (bellafill) or fat grafting with subcision so are these treatment helpful for such scars as show in photo??... Plz suggests best treatments which are suitable for these scars??

Edited December 22, 2020 by Adroit dexter

[Sirius Lee 383]

If your scars aren't that deep and have they show no noticeable borders, you could get away with just fillers. However, these pics are very blurry and I can't really comment until I see better pics.

So consider taking another picture using the angle-lighting approach as shown in the picture below. This will create a heavy shadow that will accentuate the scar for better evaluation. This can be done by pointing a bright light perpendicular (90-degree) to the angle of the lens. So if you're shooting the side of the face, you would point the light from either the front or the back of the face.

Also don't shoot so close that it only shows the cheek. Try to include other parts of the face (eg. nose, mouth and/or ear). This will give better perspective of the scar size.

 

[Adroit dexter 0]

Edited December 22, 2020 by Adroit dexter

[Adroit dexter 0]

10 hours ago, Sirius Lee said:

If your scars aren't that deep and have they show no noticeable borders, you could get away with just fillers. However, these pics are very blurry and I can't really comment until I see better pics.

So consider taking another picture using the angle-lighting approach as shown in the picture below. This will create a heavy shadow that will accentuate the scar for better evaluation. This can be done by pointing a bright light perpendicular (90-degree) to the angle of the lens. So if you're shooting the side of the face, you would point the light from either the front or the back of the face.

Also don't shoot so close that it only shows the cheek. Try to include other parts of the face (eg. nose, mouth and/or ear). This will give better perspective of the scar size.

 

 

Yeah these scars show noticeable border... Pics from different lighting how to treat this ( Mark one with orange color) scar? 

[Sirius Lee 383]

11 hours ago, Adroit dexter said:

Yeah these scars show noticeable border... Pics from different lighting how to treat this ( Mark one with orange color) scar? 

You have a combination of boxcar and rolling scars coupled with fat loss.

My treatment protocol for scar treatment is pretty straightforward. Whatever scar type you might have, get rid of the scar edge first. No edge, no reflection. No reflection, less visibility. Try to smooth the edges as much as you can, then fill any remaining depressed area (eg. scar pit) with collagen boosters like RF microneedling, laser, or dermal filler, etc.

I would suggest you get subcision to release any tethers, followed by TCA cross to smooth out the edges. Rinse and repeat TCA cross every 3 months. Once the edges have been flattened enough, get fillers to lift up the pits.

BTW Don't get fillers while the edges are still visible.

[Adroit dexter 0]

7 hours ago, Sirius Lee said:

You have a combination of boxcar and rolling scars coupled with fat loss.

My treatment protocol for scar treatment is pretty straightforward. Whatever scar type you might have, get rid of the scar edge first. No edge, no reflection. No reflection, less visibility. Try to smooth the edges as much as you can, then fill any remaining depressed area (eg. scar pit) with collagen boosters like RF microneedling, laser, or dermal filler, etc.

I would suggest you get subcision to release any tethers, followed by TCA cross to smooth out the edges. Rinse and repeat TCA cross every 3 months. Once the edges have been flattened enough, get fillers to lift up the pits.

BTW Don't get fillers while the edges are still visible.

Thanks for advice but what kind of subcision should be done nokor, cannula or taylor laberator ?  And which one is better fat grafting or filler ? 

Edited December 23, 2020 by Adroit dexter

[Sirius Lee 383]

1 hour ago, Adroit dexter said:

Thanks for advice but what kind of subcision should be done nokor, cannula or taylor laberator ?  And which one is better fat grafting or filler ? 

Cannula should suffice. There are times when the scar bands are so thick that you must use nokor. However, these are usually very deep scars and your scars don't qualify for nokor IMO.

As for fillers, I would suggest temporary fillers at first, which you can reverse if you do not like the result. This is primarily to test the water to find the injector you can trust for the long haul. If you like what you see, you can move up to more permanent ones. 

On a final note, I strongly suggest you look into TCA to smooth out those edges as mentioned in my earlier reply.

[Adroit dexter 0]

2 hours ago, Sirius Lee said:

Cannula should suffice. There are times when the scar bands are so thick that you must use nokor. However, these are usually very deep scars and your scars don't qualify for nokor IMO.

As for fillers, I would suggest temporary fillers at first, which you can reverse if you do not like the result. This is primarily to test the water to find the injector you can trust for the long haul. If you like what you see, you can move up to more permanent ones. 

On a final note, I strongly suggest you look into TCA to smooth out those edges as mentioned in my earlier reply.

Yeah I will surely do tca cross but it should be done alone or combine with other treatments? 

[Sirius Lee 383]

12 hours ago, Adroit dexter said:

Yeah I will surely do tca cross but it should be done alone or combine with other treatments? 

You can get them together or separately, it's your call. It's probably more economical to get both though.