A question I am often asked by patients relates to the efficacy of specific procedures for the elimination of acne scars. The answer is invariably disappointing to them: No one procedure is capable of complete removal of all types of Acne scarring.
Patients often come in and ask for Micro-needling or Subcision or a certain laser to “eliminate” their acne scars.
I spend a substantial portion of my consultation explaining the difference between ice-pick scars, rolling scars, atrophic scars or box-car scars. I then proceed to explain the difference between fillers, lasers and tightening procedure.
Often times a combination of these modalities are needed to improve acne scars.
Deep atrophic scars need to be filled in.
Ice pick scars may need to be excised.
Rolling and Box-car scars need a combination of Subcision and Co2 laser.
My goal is to educate my patient and chose the best and most effective procedure combination for them.
I also make sure that their expectations are realistic. Most patients get 25-30% improvement with one combination treatment.
A second or even third treatment may be needed for even better results.
I recently published a book which discusses my approach and philosophy.
http://www.amazon.com/Acne-Scarring-Treatments-David-
Rahimi/dp/1329203720/ref=sr_1_1?ie=UTF8&qid=1443722957&sr=8-1&keywords=rahimi+acne
