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Acne Scar Revision: Subcision + Fractional Radiofrequency Microneedling

In revising old acne scars, a proper evaluation must be made to ascertain the type of scars the patient has. Aside from this, one should also take into consideration the patient’s skin type and lifestyle.

Remember that each patient and unique… and so is their treatment. There are many combinations of procedures that can be done but everything should always be customized to the patient’s needs and lifestyle.

Let’s go over what we did for our patient 🙂

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The road to acne scar revision

Cystic acne is the main culprit of acne scars, because it creates a bag of pus within the skin. When the pus resolves, the hollow space it leaves behind forms a crater on the skin. When one has cystic acne flares, acne scarring ensues.

There are numerous modalities that can improve acne scars and large pore size. As dermatologists, we follow guidelines as to what modality to use to treat a certain type of scar. But we must also remember that the results of same treatment may vary from person to person. 🧐

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The many ways to say goodbye to acne

Acne can occur at any age. Some of my patients wonder why they suddenly get acne in their 20s or 30s. 🤔 It happens at times when our hormones go haywire. Why? Because of insulin spikes in our body brought out by stress, illness or food (high carbohydrates 🍞, high sugar 🍰 and dairy 🍼). 🤯 However, unlike neonatal acne, adult acne doesn’t readily go away by itself. A multimodality treatment approach is instituted to help clear acne and prevent scarring. Visit your friendly neighborhood dermatologist to see what treatment best suits your skin condition and your lifestyle. 🤓

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For the new and few pimples

For mild acne vulgaris, fractional radiofrequency with or without needling is a good option. The heat contracts the sebaceous glands underneath the skin which prevents pimple formation. 🥰 Plus, if you have recent post-inflammatory erythema and very shallow acne scarring, this treatment may help improve the condition. 🤔 If you have older and deeper acne scarring, fractional RF needling is a better option for you. As this will also address the textural issues of your skin. 👌🏼

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It started with her eyes

So we started with her dark under eye circles which gave her face a tired and gloomy appearance. I inserted threads to give the under eye area structure & volume. Then I injected PRP to boost the brightening effect. 🥰 For facial rejuvenation, the patient underwent fractional RF needling to tighten the skin and smoothen the texture. Mesotherapy of PRP was added to stimulate collagen production. 🥰 Finally, patient LED light therapy to hasten her skin’s healing. 🥰 After 2 hours…. TADA!!!! 🎉🎉🎉 We love the result!!! 🎉🎉🎉