Get a laser scar removal treatment plan for your scars.

Acne scarring is a common cosmetic concern for patients.

Scarring occurs from compromised collagen production during the healing process which results in a topographical depression. Some scarring (ice-pick scars) can be quite deep, so a treatment modality must be able to reach the depth of the scar to induce dermal remodeling.

Acne scarring is indeed difficult to treat. Modalities which have been employed are surgical techniques such as subcision, excision and punch grafts. Dermal fillers such as hyaluronic fillers, radiesse and silicone have also been utilized along with autologous fat transfer into the depression of the scar.

Laser therapy is another treatment method which has been used. In the past, traditional laser resurfacing was utilized with a standard ablative CO2 laser. This was associated with a high risk of pigmentary alterations, infection and secondary scarring. With the advent of fractional CO2 laser, the risk profile dramatically declined, however, it is important to note that multiple treatments will most likely be necessary to address the scarring.

A combination of treatments also is often utilized such as laser followed by dermal injection or subcision at the time of laser in an effort to better treat the depressed area. We normally perform subcision with radio frequency cannula (INNOFIL) along with fractional CO2 laser.

Average patients need four treatments if there is ice pick scars. The scars can be minimized, but the absolute eradication of scars will not occur.

Patients are covered with antiviral medications and antibiotics and will continue these two medications post laser as well. Immediately post laser there will be erythema (redness) and beginning edema. There will also be punctate bleeding along with serous oozing for around 24-48 hours. If subcision is utilized, there will also be added bruising post laser at the subcised area. Typically, by day 4 to 5, patients can return to sunscreen and make-up