How much improvement can I expect after subcision for my acne scars? (photo)

Doctor's Answers 2

Acne leave behind mainly ice-pick or box-car scars. The base of each scar is held down by connective scar tissue. My preferred method is to use a combination of laser treatment and Rejuran Injections to improve the overall texture of the skin.

The PicoWay has an attachment called the RESOLVE handpiece. When the laser enters the skin, it creates areas of cavitation under the skin called Laser Induced Optical Breakdowns. This helps to disrupt the connective tissue holding the base of the scar down.

Additional use of Rejuran Healer injections under the scar both helps in aiding healing and further disruption of the same tissue. Rejuran Healer contains Polynucleotides (PDRN) which have tissue repair stimulating agents. Results will vary individually and several sessions are needed for good results. These are spaced 4 weeks apart.

You can expect redness and mild swelling which is mainly from the Rejuran for about 3-5 days.

Warm Regards,

Dr Kevin Chua

Acne leave behind mainly ice-pick or box-car scars. The base of each scar is held down by connective scar tissue. My preferred method is to use a combination of laser treatment and Rejuran Injections to improve the overall texture of the skin.

The PicoWay has an attachment called the RESOLVE handpiece. When the laser enters the skin, it creates areas of cavitation under the skin called Laser Induced Optical Breakdowns. This helps to disrupt the connective tissue holding the base of the scar down.

Additional use of Rejuran Healer injections under the scar both helps in aiding healing and further disruption of the same tissue. Rejuran Healer contains Polynucleotides (PDRN) which have tissue repair stimulating agents. Results will vary individually and several sessions are needed for good results. These are spaced 4 weeks apart.

You can expect redness and mild swelling which is mainly from the Rejuran for about 3-5 days.

Warm Regards,

Dr Kevin Chua

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How effective are the various types of chemical peels for acne scars?

Medical-grade Chemical Peels are highly effective treatments for Acne Scars. It is proven that TCA Cross 70% alone can give you good to excellent improvement (> 50% improvement) of atrophic acne scars, especially severe boxcar scars. I routinely perform TCA Cross for ice pick scars and deep box acne scars. TCA Cross, which stands for Trichloroacetic acid, is a medium to deep chemical peel. There is a wide range of concentrations of TCA cross (from 35% to 100%). I usually combine this with subcision, Lasers and Rejuran injections for enhanced results in treating ice-pick scars.

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What combination acne scar treatment is best for red and pitted acne scars? (photo)

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.

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