Hello, everyone! I'm Dr. Qazi, a skin restoration specialist based in Newport Beach, California. Today, I want to walk you through an incredible transformation story of one of my patients and share insights into the world of acne scar treatment and skin restoration. As someone who focuses primarily on acne, scars, pigmentation, and facial balancing, I've dedicated my career to helping people regain their confidence through advanced dermatological procedures.
A Remarkable Transformation Story: Acne Scars and Pigmentation
Recently, I had the privilege of treating a patient who traveled all the way from Texas to see me. This gentleman had been struggling with thick, stubborn scars that hadn't responded well to previous treatments. In just a single combination session, we achieved remarkable results that became evident within two months. The transformation was so impressive that he graciously allowed me to share his journey.
During this comprehensive session, we employed multiple techniques tailored specifically to his needs. We used a CO2 laser to smooth out particularly thick areas of scarring, performed Taylor liberator subcision and Nokor needle subcision, conducted excisions for large boxcar scars, and applied additional laser treatments. To complete the procedure, we incorporated Sculptra to enhance volume where needed.
The outcome speaks for itself – a dramatic improvement in both texture and appearance. While some hyperpigmentation remains, it's already significantly better than before, and with proper care, including sunblock and potential Pico laser treatments, it will continue to improve.
The Art of Combination Therapy
One crucial aspect of successful scar treatment is understanding that no single method works universally. That's why I advocate for combination therapy, which allows us to address various aspects of scarring simultaneously. For instance, while lasers can be incredibly effective, they do have drawbacks. Hyperpigmentation can occur post-treatment, especially in darker skin tones, though this is typically temporary and manageable with appropriate aftercare.
The Role of Diet and Lifestyle in Acne Management
Beyond clinical treatments, managing diet and lifestyle plays a pivotal role in controlling acne and preventing new breakouts. Patients often ask about dietary changes they can make to reduce oil production and cystic acne. Controlling your diet by eliminating inflammatory foods like dairy products, saturated fats, and complex sugars is essential. Incorporating omega-3 supplements and zinc (50 milligrams daily) can also help manage oil production and promote clearer skin. Drinking more water and maintaining a balanced diet rich in whole foods supports overall skin health and complements professional treatments.
Addressing Anxiety and Mental Health in Treatment
Anxiety is a common concern among patients undergoing skin restoration procedures. Many feel apprehensive before treatments, which can affect their comfort levels during sessions. To alleviate anxiety, we offer numbing agents and, when necessary, anti-anxiety medications. Some patients benefit from Pronox, commonly known as laughing gas, which helps them relax during procedures. It’s vital to create a supportive environment where patients feel comfortable discussing their fears and expectations. Building trust and ensuring open communication leads to better outcomes and a more positive experience throughout the healing journey.
Questions Answered
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Question: What are the drawbacks of laser?
Dr. Qazi: While lasers offer fantastic results, one common drawback is temporary hyperpigmentation, particularly noticeable in darker skin types. However, with proper aftercare, including sun protection and potentially using creams or additional laser treatments like Pico, this usually resolves within a few months. -
Question: Hi, what topical treatments can I buy which will reduce the appearance use of my acne scars? Mine are really colored and have hyperpigmentation.
Dr. Qazi: For over-the-counter options, Eucerin's anti-pigment cream combined with a topical retinoid at night can work wonders. Apply the Eucerin cream during the day and use the retinoid in the evening. These products can help fade discoloration and improve overall skin texture. -
Question: How to address hyperpigmentation after acne and trauma to the skin?
Dr. Qazi: Post-inflammatory hyperpigmentation (PIH) often responds well to lightening creams, such as those containing azelaic acid or hydroquinone. Consistent use of sunblock is also vital, as UV exposure can worsen pigmentation. In stubborn cases, professional treatments like Pico lasers may be necessary. -
Question: If someone has no skin concerns and just wants a general glow-up, what procedure would you suggest?
Dr. Qazi: Lasers are excellent for achieving a radiant complexion. Micro peels using gentle lasers exfoliate the skin beautifully, leaving it refreshed and glowing. Pico lasers are another fantastic option for overall skin rejuvenation. -
Question: Can you tell me what is the most effective treatment for boxcar scars?
Dr. Qazi: Boxcar scars respond well to a combination of approaches. Subcision helps release tethered scar tissue, while Bellafill can add volume beneath the scar. Additionally, TCA CROSS technique creates controlled injury to stimulate collagen production, effectively reducing scar depth. -
Question: Is Bellafill temporary? Do you have to reinject every so often?
Dr. Qazi: Bellafill contains PMMA microspheres that remain permanently in the skin, providing long-lasting results. However, as natural fat diminishes with age, occasional touch-ups might be necessary, typically every 5-10 years. -
Question: What do you think about suctioning after subcision?
Dr. Qazi: I don't recommend suctioning post-subcision, as it can cause excessive trauma and lead to premature scab formation. Gentle handling and proper aftercare yield better results without unnecessary complications. -
Question: Is there a difference between punch excision for ice pick scars and excision for boxcar scars?
Dr. Qazi: Yes, punch excisions target individual deep scars by completely removing them, whereas elliptical excisions are better suited for wider boxcar scars, allowing for more precise reshaping and closure. -
Question: When should we start getting preventative Botox?
Dr. Qazi: Begin preventative Botox as soon as you notice dynamic wrinkles forming. Early intervention can prevent deeper lines from developing, maintaining smoother skin longer. -
Question: Can TCA make the scar worse?
Dr. Qazi: Improper application of TCOA can exacerbate scarring, especially if done on oily skin. However, when performed correctly, it generally leads to temporary inflammation followed by scar contraction and improvement. -
Question: Do you know why darker skin people experience more hyperpigmentation when getting microneedling?
Dr. Qazi: Darker skin tones naturally produce more melanin, making them more prone to post-inflammatory hyperpigmentation. Sun exposure post-treatment can trigger this response, highlighting the importance of diligent sun protection. -
Question: Do you offer any courses?
Dr. Qazi: Currently, I provide training exclusively for physicians due to high demand and limited availability. Estheticians interested in corrective skincare might consider pursuing further medical credentials to qualify for future opportunities. -
Question: Do a lot of patients have anxiety?
Dr. Qazi: Anxiety is quite common among patients, particularly before procedures. We address this by offering numbing agents and, when necessary, anti-anxiety medications to ensure comfort throughout the treatment process. -
Question: Best for PIE or PIH and what is the best thing so topical that could fix it?
Dr. Qazi: For Post-Inflammatory Erythema (PIE) and Post-Inflammatory Hyperpigmentation (PIH), 10% azelaic acid is highly effective. Available over the counter, it gently reduces redness and discoloration without harsh side effects.
Addressing Common Concerns and Misconceptions
Many patients worry about the recovery process and potential side effects. It's essential to understand that treatments like phenol peels, while powerful, require careful consideration and realistic expectations. Phenol peels can dramatically resurface the skin but aren't a magic bullet for all types of scarring. They work best as part of a broader treatment plan addressing volume loss and texture issues.
I frequently encounter misconceptions about fillers, particularly regarding their safety and longevity. While Bellafill has become my go-to choice due to its semi-permanent nature and excellent results, other options like Sculptra or Radiesse can also be effective depending on individual needs and preferences.
Beyond Treatments: The Importance of Trust and Dedication
My practice philosophy revolves around building trust and fostering open communication with my patients. Each person comes to me with unique challenges and aspirations. By dedicating myself fully to each case—from consultation to final result—I ensure that every patient receives personalized attention and optimal outcomes.
This commitment extends beyond clinical expertise; it encompasses emotional support and guidance throughout the healing journey. Whether working with individuals seeking aesthetic enhancements or those facing life-altering health diagnoses, my goal remains constant: empowering people to feel confident and beautiful in their skin.
Looking Ahead: Innovations and Future Directions
While current technologies and techniques continue to evolve, I remain cautiously optimistic about emerging innovations in acne scar treatment. True breakthroughs are rare, but ongoing research holds promise for even more refined solutions. As new generations of practitioners emerge, I hope to see increased focus on mastering specialized skills rather than chasing quick fixes or trendy gadgets.
The landscape of dermatology faces significant challenges, notably the impact of private equity on healthcare delivery. Many practices now prioritize profit over patient care, leading to rushed appointments and diminished quality. By maintaining independence and prioritizing patient relationships, independent specialists like myself strive to uphold the integrity of our field.
Final Thoughts
Every day brings new opportunities to transform lives through compassionate, expert care. From complex scar revisions to subtle enhancements, witnessing the joy and renewed confidence in my patients fuels my passion for this work. If you're considering treatment or simply curious about skin restoration possibilities, remember that knowledge and trust form the foundation of successful outcomes.
Feel free to reach out with any questions or concerns—you deserve nothing less than exceptional care tailored to your unique needs. Together, we can embark on a journey toward healthier, more radiant skin.
