Lasers for acne scars











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I use a combination of lasers to treat acne scars. The most important point to take back from this video is that it is the METHOD of acne scar revision that gives the greatest benefit to the patient. • The very first step is to identify acne scar types, and ideally this is done under angled lighting and mapping. Once the scars are mapped and the types of scars identified, I then use targeted treatments to address these scars. • Most patients will have a mixture of acne scar types, including atrophic scars, tethered scars, box car scars, ice pick acne scars, rolling acne scars, and hypertrophic scars. Some patients will have early acne scars, and others will have longstanding acne scars. Some will have red scars, others dark scars, and others skin coloured ones. • The best METHOD is to match the procedure, with the scar type, skin type and downtime for the patient. For someone to be good, and I mean really good at acne scar revision, they must have not only an array of machines and lasers, but be skilled in the art of surgery, subcission, and most of all dermal filling. TCA CROSS is another procedure I perform 3-4 times a day on deep ice pick scars, or linear box car scars. • This video only shows one form of scar revision- that is fully ablative laser resurfacing using the erbium Scition laser. Other devices I use (and videos will come shortly), include- the Profractional erbium by Scition, the Fraxel fractional laser at 1550, called Fraxel RESTORE, the big guns of Fraxel which is called the Fraxel CO2 or RE:Pair. I also use fully ablative lasers such as the CO2 CORE by Synderon Candella, as well as the Fractional CO2 laser. eMartrix is good for early acne scars, however there are better devices for older more severe scars. I often combine eMatrix in my Acne Free RF program. ePrime is a form of skin needling- but delivers only a small amount of needles with limited insulation via radiofrequency. I have this device, but the results are not so good for even atrophic and tethered scars. I find that INFINI microneedling radiofrequency is the Gold Standard for delivering non-laser based acne scar revision – in the context of atrophic, tethered, rolling and mixed scars, as well as open skin pores. • In 2015, I used the Picosure Focus array lens – a fractional picosecond Q switch laser to treat acne scarring that is early, and pigmented. (Brown or dark acne scars). This laser is excellent in this context (video to come shortly). I also use the nano second 1064 NdYag laser for early remodelling of acne scars- once again in the context of dark scars. • Red acne scars respond nicely to vascular lasers such as the V BEAM laser. Over a course of 3-5 sessions, collagen can be stimulated as well as redness reduced. • • Thanks for watching, and don’t forget to subscribe for all the latest information on acne scar revision, lasers and procedures. • • Dr Davin Lim • Laser, surgical and aesthetic dermatologist • Brisbane, Australia. • Upcoming website: • http://www.lasersandlifts.com.au • Realself reviews: • http://www.realself.com/find/Australi... • Acne Specialists- a website I wrote in 2013 (constantly updated) • http://www.acnespecialists.com.au

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