Hi everyone, I’m Dr. Qazi, a skin restoration specialist based in Newport Beach, California. My passion lies in helping people regain their confidence through transformative skin treatments. Whether it’s acne scars, facial balancing, or pigmentation issues, I’ve dedicated my career to perfecting these procedures. Tonight, I want to share an incredible result that we were able to accomplish from a traumatic forehead scar. I will also be discussing topics like Bellafill, Accure Laser, Tretinoin and other treatments.
Healing a Traumatic Forehead Scar
One of my patients came to me with a traumatic scar on her forehead. This wasn’t just any scar—it was deeply troubling for her because of its prominent location and visibility. After several months and multiple sessions, we achieved results so impressive that the scar is now nearly invisible. Let me walk you through this journey.
The patient had what appeared to be a boxcar scar, but it was actually caused by a freak accident involving shattered glass. The challenge here was twofold: not only did we need to address the scar itself, but also manage muscle contractions around the area. To combat this, we used dysport (a form of Botox) injections to relax the muscles, ensuring optimal healing conditions.
For the treatment, I employed a combination of techniques including subcision, TCA cross, ablative CO2 laser, and Bellafill injections. Each step played a crucial role in breaking down scar tissue, promoting collagen production, and ultimately achieving smooth, clear skin. Over the course of five months, the transformation was remarkable. Even though the scar was initially resistant due to its position, our comprehensive approach yielded fantastic outcomes.
Understanding Different Types of Scars and Treatments
Scars come in various forms—boxcar, ice pick, rolling, and hypertrophic scars, among others. Each type requires a tailored approach for effective treatment. For instance, boxcar scars often benefit from subcision followed by fillers like Bellafill to lift and smooth the skin. Ice pick scars might require more aggressive methods such as TCA cross or even surgical excision.
Hyperpigmentation, another common concern, especially in darker skin tones, demands careful management. Products containing azelaic acid and consistent sunscreen use can significantly reduce discoloration. Advanced treatments like Pico lasers offer precise correction without damaging surrounding tissues.
The Role of Fillers and Collagen Stimulation
Fillers have become a cornerstone in scar treatment protocols. Bellafill, which contains PMMA, offers long-lasting support beneath scar tissue. Studies indicate its presence for at least five years, although many patients report benefits lasting over a decade. While future volume loss may occur, Bellafill provides excellent structural support, making scars less noticeable.
Collagen stimulation is equally vital. Procedures like microneedling and laser resurfacing encourage natural collagen growth, enhancing skin texture and firmness. However, caution must be exercised; improper technique can lead to increased scarring or complications.
Addressing Acne and Its Aftermath
Acne doesn’t just leave physical marks—it affects self-esteem profoundly. Managing active acne involves controlling oil production and reducing inflammation. Treatments like Accure laser target the root cause by normalizing oil glands without systemic side effects.
Post-acne concerns include redness (PIE) and hyperpigmentation. Azelaic acid proves beneficial in fading red marks, while hydroquinone addresses stubborn pigmentation. For severe cases, lasers like Excel V or Vbeam provide targeted capillary repair.
Navigating Facial Balancing and Aging Concerns
Facial balancing goes beyond scar treatment. As we age, volume loss and skin laxity become apparent. Non-surgical options like Sculptra and Radiesse stimulate collagen, restoring youthful contours. In contrast, surgical interventions remain the gold standard for significant jowling or sagging skin.
Threads, though popular, present challenges. Complications arise when threads aren’t placed correctly, necessitating expertise to resolve issues. Safer alternatives exist, offering longer-lasting results aligned with patient expectations.
Questions Answered
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Are fillers like Bellafill a temporary solution or do they create enough collagen for permanent results?
Dr. Qazi:Â https://doctorqazi.com/products/bellafill-syringe?_pos=1&_psq=bell&_ss=e&_v=1.0Â contains PMMA, which remains under the scar tissue for at least five years according to studies. Many of my patients report lasting benefits beyond a decade. While future volume loss might occur, Bellafill provides excellent structural support for scars. -
Why are my acne scars black?
Dr. Qazi: Acne often leads to hyperpigmentation, especially in darker skin tones. Managing pigmentation is key to reducing those dark marks. Treatments such as azelaic acid and consistent sunscreen use can significantly improve discoloration. -
How do I get rid of jowls—surgery or treatment?
Dr. Qazi: For true jowls, surgery remains the gold standard. Non-surgical options like Facetite can tighten skin internally, but significant improvements typically require surgical intervention. -
How long after my fourth Accure laser can I come to you for scar treatment?
Dr. Qazi: Typically, waiting three months post-Accure ensures oil production stabilizes. At this point, we can assess your progress and plan further scar treatments safely. -
What anesthesia do you use on patients for subcision and Sculptra, etc.?
Dr. Qazi: We apply extensive numbing solutions and nerve blocks to ensure comfort during procedures. Patients often express relief knowing pain management is thorough. -
I have redness in scars after severe breakouts; I just want to get rid of the redness for now. I'm 16.
Dr. Qazi: Start with over-the-counter 10% azelaic acid and maintain hydration with products like Vanicream. These steps help reduce redness effectively. -
How to prevent the possibility of breaking out post-acne?
Dr. Qazi: Incorporate topical retinoids like low-dose tretinoin (0.025%) gradually. Consistent moisturization and zinc supplements also aid in preventing new breakouts. -
Do you suggest using tretinoin with the Accure laser?
Dr. Qazi: Post-laser, allow your skin to adjust before introducing tretinoin. Avoid overly drying your skin during active laser therapy to prevent rebound oil production. -
Is Tazorac much better than tretinoin?
Dr. Qazi: Both are effective. Stick with what works best for your skin type. Adjust dosages as needed, starting slow and building tolerance. -
How to get rid of PIE (Post-Inflammatory Erythema)?
Dr. Qazi: Begin with 10% azelaic acid and diligent sun protection. If persistent, consider lasers like Excel V or Vbeam for targeted capillary repair. -
What to use for hyperpigmentation due to acne for darker skin?
Dr. Qazi: Sunscreen is non-negotiable. Additionally, try Eucerin Anti-Pigment Cream or consult professionals skilled in Pico laser treatments for safe pigment correction. -
Lip flip or filler?
Dr. Qazi: It depends on individual needs. Fillers restore lost volume beautifully, while lip flips enhance shape subtly. Consultation determines the ideal choice. -
What do you suggest for permanently getting rid of pitted ice pick scars?
Dr. Qazi: Techniques vary—from excision to TCA cross and laser resurfacing. Customized plans address depth and severity, offering substantial improvement. -
Is it safe to do excisions on the forehead if you are keloid prone?
Dr. Qazi: Careful evaluation is essential. Regular neurotoxin use minimizes movement risks, enhancing safety for keloid-prone individuals. -
Opinion on threads?
Dr. Qazi: Threads pose complications without proper expertise. Alternative treatments provide safer, longer-lasting results tailored to each patient’s unique needs. -
CO2 laser, subcision, microneedling, chemical peel—in which order do you recommend doing treatments?
Dr. Qazi: Prioritize subcision followed by CO2 laser. Chemical peels and microneedling may complement but aren’t primary solutions for deep scars. -
Would fungal acne be considered acne?
Dr. Qazi: Yes, fungal acne falls under the broader category of acne. Controlling fungus addresses underlying causes and prevents scarring. -
What's the downtime for CO2?
Dr. Qazi: Most experience four to seven days of recovery. Localized application reduces overall downtime compared to full-face treatments. -
What is BBL Moxy good for?
Dr. Qazi: BroadBand Light (BBL) targets acne and mild pigmentation issues. However, precise lasers like Pico or Excel V offer superior outcomes for specific concerns. -
What is the best way to treat a boxcar scar on the middle of my nose?
Dr. Qazi: Depending on depth, Bellafill offers immediate lift. Combined with gentle erbium laser resurfacing, this dual approach delivers beautiful results. -
What helps with the appearance of keloids?
Dr. Qazi: Steroid shots, Excel V laser, and silicone tape flatten and fade keloids effectively. Tailored regimens maximize benefits based on individual responses.
Contact Qazi Cosmetic Center Today
Through years of experience, I’ve learned that every patient presents unique challenges requiring bespoke solutions. By combining cutting-edge technologies with compassionate care, I strive to deliver life-changing transformations. Stay tuned for more success stories and insights as we continue exploring innovative ways to restore confidence and beauty.Â
If you're interested in scheduling a consultaiton with me for ance scars, pigmentation, acne, facial balancing or other skin concerns, you can call/text us at 949-336-7293 or you can click here to self-schedule a consultation. We would be happy to help you!
