How to treat ACNE SCARS | Dermatologist Guide

Acne Scar Revision | Podcast 2 In this video we discuss the evolution of acne scar revision and the challenges that we face with company marketing, especially when it comes to devices/lasers. Manual acne scar revision; subcision In the majority of cases, the use of manual revision far exceeds the results from lasers. The exception are monomophic scars that lie in the same plane, or scars that are primarily superficial in depth. Manual acne scar revision; TCA Paint/CROSS Cannula subcision is the benchmark in the context of moderate to severe scars. Most atrophic scars will have some element of tethering. Cannula has many advantages over point subcision with a bevelled needle. Less tissue trauma, ability to subcise in multiple plane, ability to stimulate collagen at the dermal layer- a term I call ‘dermal scraping’. Importantly the ability to inject saline, HA fillers, or collagen stimulating fillers like Poly L Lactic Acid. My method of TCA has evolved over 15 years, from toothpick, to osmotic delivery with a syringe and now TCA PAINT. TCA along with phenol croton oil still remains as the method of choice for multiple pick, ice pick, linear, and box car acne scars. Lasers & scar revision We agree that non-ablative wavelengths IN THE CONTEXT of moderate to severe atrophic acne scars gives less than ideal outcomes. CO2 still remains the standard in the CONTEXT of lasers. I will explain my phrase ‘always treat the problem with a solution that is smaller than the problem its