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Daily uploads on scar removal procedures
www.lasersandlifts.com.au
For the very latest in acne scar revision procedures
The very first step in acne scar treatment is to determine your scar type. Based upon scar types, I then choose the best method to remove that acne scar. For example-
Ice pick scars are best treated with chemical peels such as TCA CROSS or punch excision
Rolling scars are best treated with fractional lasers Fraxel, INFINI Microneedling, Dermarollers, skin needling and subscision
Box car scars are best treated with laser resurfacing using a co2 or erbium laser such as Profractional
Atrophic scars are best treated with fillers such as Juvederm, Restylane, Bellafill, or even fat transfer
Most clinics will by default ‘prescribe’ a laser treatment such as Fraxel, fractional laser, or have an answer such as Derma Roller or microneedling. Whilst these treatments can give some results, they do not offer Gold Standard acne scar treatment solutions.
A bespoke or individualised treatment approach is best, because it is your scars that are being treated and not just a device that is being used for ‘acne scarring.’ If you look at my acne scar before and afters you will notice one trend- everyone will have a mixture of scars and very rarely will a person have only one scar type. Most patients will present with a variety of scars, some patients will have more atrophic acne scarring, whilst others will have deep ice pick scars. Some patients will present with acne -pimples- zits and acne scars as well. The combinations are endless.
So the very first step I do is to ask- what types of acne scars do you have? What gives me the most information is angled lighting. This is how you visualise scars, and it is the same method I use to find acne scars, map them out, and then treat them. Most patients notice their acne scars when lighting conditions changes, classic examples are when they are in the bathroom, or in a dimly lit room, or when light shines at a certain angle. It might be at night in the car, or the reflection of glass or a mirror. I use the same principles that patients see their scars to examine, identify and treat acne scarring.
Any specialist who does scar revision to a high level would use angled lighting to determine scar types. Shining direct and bright surgical lighting reveals very little, but by dimming lights and shining light at different angles reveals a whole new world of acne scarring. In many of my upcoming videos you will see me using these very techniques to find, treat and cure acne scars. I use light to my advantage.
In the majority of my acne scar treatments I combine a variety of techniques in the one sitting. Early scars respond well to eMatrix RF, whilst late scars respond to TCA CROSS, fractional laser skin resurfacing, fractional microneedling, microneedling RF, subcision, dermal grafting, dermal fillers (Juvederm and Bellafill) as well as many other acne scar revision methods.
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Dr Davin Lim
Laser and aesthetic dermatologist
BRISBANE, Australia.