2/17/2024 0 Comments Lightning scars black personThis also applies to high powered RF microneedling (Genius RF, Infini RF, Morpheus 8 RF). □□□PIH is universal if surface treatments are conducted. Pico recently for PIH & textural remodelling □Methods: Subcision, high power but low density CO2 plus RF microneedling, TCA paint to well demarcated scars. Deep polymorphic scars, atrophic rolling, box car as well as focal areas of fibrosis (central cheeks, hypopigmented atrophic) □Skin Science: This is one of the more challenging jobs, skin type bordering on 5. The biggest leap was when she controlled her acne 5 months ago ![]() This job took awhile as acne was largely uncontrolled. □ Davin #rollingscars #acnescars #acnescarrevision #acnescartreatment #fraxel #fraxellaser #acnescarremoval #brisbanedermatologist #dermalscience #acnescarring #davinlim #drdavinim #acnescartreatment #acnescarcure #dermatologistbrisbane #co2laser #laserresufacing #picoway. Your acne scar revision process will be much more efficient & effective. □□Tips: Above ALL THINGS, control active acne, no matter what. With 4 sessions of Picoway, we managed to treat the PIH from other treatment modalities and at the same time improve skin texture, including enlarged pores □This patient: had TCA Paint, CO2 fractional & finished off with pico lasers. This patient has skin type 4, The downside of ethnic patients is that scarring is more severe, more apparent (depth for depth), as darker skin absorbs light, fair skin reflects, the brisk response of melanocytes to energy devices & peels, the brisk response of fibroblasts think #keloids & hypertrophic scars BUT… (every cloud has a silver lining) ethnic skin has a thicker dermis AND has a greater potential for neocollagenesis □Skin Science: Treat scars according to classification (histological level of scarring) & patient factors, most importantly skin type. Box car, ice picks, mild rolling acne scars This mitigates unwanted scarring.Īsian skin type 4. Treatments must account for this biological response. Darker skin patients have a brisk collagen response, hence why keloid & hypertrophic scars are more commonly encountered. The second factor in acne scar revision in ethnic skin types, is based around dermal responses, in particular the cells that produce collagen, namely the fibroblast. Hence the aim of treatment is to balance out effective methods, but also decrease the duration of PIH. It can last 10 days all the way to 6 months or longer. PIH is part of the healing process in this patient group. It is thus important to predict the duration of PIH, & importantly find solutions to mitigate or reduce the duration of PIH. This is called post inflammatory hyperpigmentation or PIH. ![]() Any breach of the upper layers of skin, whether it be lasers, microneedling, peels, surgery or energy devices, has the potential to produce more pigment. Ethnic patients naturally have more melanin or pigment. The biology of darker skin types is unique.
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