Acne Scars


Atrophic
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Response and Comments:
Dermal fillers. Fat transfer, fillers – Radiesse, Aquamid.
Appropriate Light Source:
Fractional resurfacing to decrease surface area.
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Comedones/macrocomedones
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Response and Comments:
Electrosurgical mitigation. Direct release – punch excise large lesions.
Appropriate Light Source:
No related laser treatments.
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Erythematous macules
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Response and Comments:
Control inflammatory disease.
Appropriate Light Source:
Vascular lasers (PDL, KTP) or IPL
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Hyperpigmented macules (PIH)
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Response and Comments:
Gradual improvement.
Appropriate Light Source:
  • Thulium Cureda Fraxel™ 1927nm ResurFX™
  • Q switched laser 1064nm
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Hypopigmented macular scars
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Response and Comments:
Retinoids/topical corticosteroids. Melanocytic transfer. Recell ™.
Appropriate Light Source:
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Ice pick
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Response and Comments:
TCA cross, punch elevation.
Appropriate Light Source:
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Papular scars – some borderline hypertropic
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Response and Comments:
Peels – glycolic/TCA.
Appropriate Light Source:
No related laser treatments.
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Punched out atrophic, deep boxcar
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Response and Comments:
Subcision (needle/blade) TCA cross.
Appropriate Light Source:
Ablative best may require a few treatments.
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Scars – boxcar, contour deformity
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Response and Comments:
Punch techniques (excision/elevation).
Appropriate Light Source:
No related laser treatments.
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Scars - hypertrophic, keloid, bridged/tunnelled, knotted
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Response and Comments:
Combined treatment approach intralesional steroid/5-FU.
Appropriate Light Source:
Fractional ablative and incisional CO2 laser.
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Scars – rolling, shallow
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Response and Comments:
Skin rolling/needling/vital.
Appropriate Light Source:
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Textural change – flatten of lateral pressure
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Response and Comments:
Microdermabrasion.
Appropriate Light Source:
No related laser treatments.
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