Scroll through the images to view the different stages of treatment

Case 1 - Ice pick, rolling and Atrophic scarring

Diagnosis

Ice pick, rolling and atrophic scarring, moderate severity long standing scars

Treatment

As always, ice pick scars were treated first with TCA cross, treatment was completed with CO2 CORE Fractional laser. 2 treatments. Downtime of 6 days after each CO2 fractional.

Specialist

Dr Davin Lim

Case 2 - Rolling and Atrophic scarring on darker skin type

Diagnosis

Rolling and atrophic scarring on darker skin type. This form of acne scarring is very difficult to treat, given skin type

Treatment

CO2 CORE Fractional laser in conservative settings, 4 treatments needed to achieve result given darker skin type. Darker skin patients WILL need more laser treatments as a safety margin is needed.

Specialist

Dr Davin Lim

Case 3 - Long standing acne scars in Caucasian Skin type

Diagnosis

Long standing acne scars in Caucasian Skin type. Rolling scars, atrophic scarring on the background of mild sundamage.

Treatment

Erbium micropeel, followed by Fractional Erbium Laser. 2 treatments, 8 weeks apart. This was done in 2008. Now I would use newer generation CO2 CORE laser + Erbium followed by Fraxel 1550. This combination will result in more superior scar reduction. Ideally followed by focal fillers.

Specialist

Dr Davin Lim

Case 4 - TCA and Laser - perfect combination

Diagnosis

This patient had deep box car and ice pick scarring on the cheeks.

Treatment

I elected to use TCA CROSS (2 treatments) to raise deep scars, followed by one session of erbium and my favourite laser- the CO2 CORE in fractional mode. She still has 3 tiny scars remaining, and ideally I would have liked to perform one more TCA, but she was happy as is.

Specialist

Dr Davin Lim

Case 5 - Rolling and atrophic acne scars on background skin type 4

Diagnosis

Rolling and atrophic acne scars on background skin type 4

Treatment

Fraxel laser, 5 treatments. Last photo shows results 1 month post laser. Once again in darker skin patients with acne scarring the treatment parameters MUST be conservative or post laser skin changes can occur. Acne scar revision in darker skin patients is best carried out with FRACTIONAL laser resurfacing - Fraxel or Erbium. In some cases I do use CO2 laser, but do not overlap. Dark skin patients can be treated with laser, but treatment is always conservative.

Specialist

Dr Davin Lim (reporting on behalf of SOLTA Medical)

Case 6 - Atrophic, box-car, mixed acne scars in Asian skin type

Diagnosis

Atrophic, box-car, mixed acne scars in Asian skin type

Treatment

Fraxel 1550, 5 treatments. In darker skin types, more laser treatments are needed on the side of safety. Darker skin patients have higher chances of post laser skin colour changes, and hence lower settings are needed. The flip side is that an extra one or two Fraxel treatments are needed- all on the side of safety.

Specialist

Dr Davin Lim (reporting on behalf of SOLTA Medical)

Case 7 - CO2 CORE Fractional 3 treatments

Diagnosis

This patient has a mixture of atrophic and box car scars, skin type 3.

Treatment

Given the busy lifestyle of this patient, fractional laser was chosen. My choice? The CO2 CORE by Syneron Candella. 3 passes, maximal power, 3 treatments one month apart. Great results with at least 80% improvement.

Specialist

Dr Davin Lim

Case 8 - Fractional CO2 Laser for acne scars

Diagnosis

Atrophic and tethered acne scars

Treatment

CO2 Fractional Laser Resurfacing. This is where Fractional Lasers excel in their role- for the treatment of atrophic scars. Each session takes 15 minutes to perform, with a recovery period of only 4 days. This patient had 3 treatments. Scarring will continue to improve with mores sessions planned.

Specialist

Dr Davin Lim

Case 9 - Rolling and atrophic scars, tethered scarring on the cheeks

Diagnosis

Rolling and atrophic scars, tethered scarring on the cheeks

Treatment

Puckered and tethered scars treated with subscision followed by fractional laser - Erbium profractional resurfacing. 2 treatments, downtime of 5 days

Specialist

Dr Davin Lim

Case 10 - Fraxel Laser for enlarged pores

Diagnosis

Enlarged and prominent facial pores on a background of sun damage.

Treatment

High density Fraxel Laser resurfacing by Dr Davin Lim and Emily Hyde RN. Multiple small sized acne pores do well with Fraxel, larger and deeper pores do best with TCA CROSS chemical peels.

Specialist

Dr Davin Lim

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