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How to treat acne scars- dermatologist reveals the best way
The best way to treat acne scars is to see an expert in the revision of acne scarring. This means a Specialist Doctor who has done training in medicine, then further training in Dermatology or Plastic Surgery, then even more training in the sub- speciality of acne scar revision. Gold Standard acne scar treatment is not about the laser, nor the energy device, nor the Clinic, nor the branch. Your outcome will depend on the manual skills of your specialist.
Top level specialist will always use manual methods such as subcision with Nokor Needles, or Cannula subcision. They will know how to integrate fillers to help with atrophic scars and stimulate collagen. Top tier specialist will know how to use all fillers ranging from Restylane, Boletero, Juvederm, Radiaesse, Sculptra, and many other collagen stimulating fillers in various dilutions according to your skin type. If a specialist does not know how to competently perform Nokor subcision, point subcision, multilevel subcision, fat grafting, filler subcsion, filler augmented filler subcsion they may not be competent In the total art of scar revision. Scar dissection, excision, surgical elevation and TCA CROSS are other manual methods of scar revision.
Lasers and energy devices are merely instruments for top tier specialist. These specialists all well versed in the use of erbium and CO2 fractional lasers- from old fashioned Fraxel RePair through to hybrid lasers, insulated energy devices including Intracel, INFINI micro-needling radiofrequency,Vivace, Intensif and Secret RF. They can also push the limits of Pico lasers, and the extreme of fully ablative CO2 and erbium.
3 tips as to how to find the best scar revision specialist for you. Google Ad’s are great for generic clinics, however the moat specialist will never advertise- they have too much work due to their reputation. I have no problems with my colleagues Google Advertising promises, just as long as they can deliver the results. Tip number two- for an unbiased opinion as to scar revision go to
www.acne.org under the acne scars section. Here moderators such as BA, Sirius Lee, and Obi Wan will give you guidance as to what treatments you may benefit from, and who to see. BA is by far the most experienced, and has extensive knowledge in regards to scar revision and who to consult. I am not allowed on this site as I am a Specialist. Last of all, go to www.realself.com and post your questions and photos for Specialist to comment on. Do not send personal messages or photographs, as this site is designed as a community based forum, and not for the benefit of one specialist. All answers should be transparent for the community to see, share, understand and learn. Best advice is to see the before and after photos and READ the logic behind how one gets the result. If possible see 2 Specialists near you and choose the one that you are comfortable with, both when it comes down to their skill level as well as how much they understand scars and your psyche.
Cross reference the Specialist on acne.org with www.realself.com and ask for unbiased advice. The community has its limitations. We do not know the reputation nor skill level of every dermatologist or plastic surgeon, however moderators such as BA will have a better understanding than I do. I am here to help you on www.realself.com, though this website has limitations, I can at least have a voice on this site. WHAT I CAN NOT DO IS TO ADVISE YOU ON WHO TO SEE NEAR YOU. I can just comment as accurately as possible on your scars and what actions I would take to treat them. I do respect my fellow Board Certified Specialists, as there are many roads to the same destination. Answers may differ. I respect and learn from every colleague.
Regards, Dr Davin Lim, Laser and procedural dermatologist. Brisbane, Australia. Acne Scar Specialist. Top 1% 2015, 2016, 2017.
NOTE- Dr Lim does NOT provide Skype consults, nor advice on acne scars online. This is because clinical examination involves touch, palpation, real time examination of acne scars, in addition to psychological profiling of each patient. Please refer to www.acne.org for recommendations of acne scar specialist throughout the World. If they are not listed there, it means we do not know of any in YOUR country. Sorry, I cannot help you further than this.