Hi, I’m Dr. Qazi, and I’m thrilled to share my insights and experiences as a skin restoration specialist based in Newport Beach, California. My primary focus is on treating acne scars, pigmentation issues, and achieving facial balance. Today, I want to walk you through a remarkable case of a patient whose journey began just a few months ago, showcasing treatments like TCA Cross, Subcision, Bellafill, Lasers and more.
Great Transformation
This particular patient started treatment in late November, and by early December, we were already seeing promising results. Fast forward to just about four months later, and the improvement in his skin quality is nothing short of incredible. His initial concerns were primarily related to acne scars, which we tackled using a combination of techniques including TCA cross, subcision, and laser treatments.
For the thicker parts of the scars, I employed an ablative form of CO2 laser, while also incorporating a fractionated blend of CO2 and erbium lasers for more refined results. The transformation has been so impressive that I am eager to continue enhancing his results with additional treatments like Bellafill and further laser sessions.
Comprehensive Approach to Skin Restoration
When dealing with complex cases like this, it’s crucial to adopt a multi-faceted approach. In this patient’s case, we initiated treatment with Sculptra, followed by TCA cross, subcision, and various laser therapies. Each technique plays a vital role in addressing different aspects of skin damage. For instance, subcision helps release tethered scar tissue, allowing for better volume replacement with fillers like Sculptra or Bellafill.
Sculptra was particularly effective for this patient due to fat loss and rolling scars. Subcision was critical in releasing the tethered scar tissue, facilitating subsequent treatments to yield optimal results. This case underscores the importance of personalized treatment plans tailored to individual needs.
Addressing Common Concerns
Sun Protection and Pigmentation
One of the most frequent questions I encounter revolves around managing pigmentation caused by sun exposure. Consistent use of sunblock is paramount. Incorporating products like Eucerin Anti-Pigment Cream combined with tretinoin at night can yield significant improvements. However, for more stubborn cases, treatments like pico laser might be necessary.
Managing Acne Marks and Hyperpigmentation
Post-inflammatory hyperpigmentation (PIH) from acne often requires a strategic approach. Over-the-counter solutions such as Eucerin Anti-Pigment Cream can work wonders, but more persistent marks may need stronger interventions like hydroquinone or pico laser treatments.
The Role of Diet and Lifestyle
Diet and lifestyle choices significantly impact skin health and collagen response. Smoking and vaping are major deterrents to optimal collagen production, and even occasional use can impede healing processes. Similarly, processed foods, excessive dairy, and poor sun protection habits exacerbate skin conditions. Emphasizing a clean diet rich in omega-3s and vitamin C supports overall skin health and recovery.
Advanced Treatments and Techniques Like Bellafill
Subcision and Fillers
Subcision is a depth-dependent procedure best suited for releasing tethered scar tissue. While direct volume replacement with fillers like Sculptra or Bellafill often suffices, subcision ensures that deeper scars receive adequate treatment. Combining these methods yields the best outcomes for patients struggling with rolling scars.
Laser Treatments
Laser therapies, particularly CO2 and erbium lasers, offer unparalleled precision in treating various skin textures and scars. While microneedling provides mild improvements, it falls short for deeper scars. CO2 lasers remain the gold standard for addressing pronounced textural issues effectively.
Patient Satisfaction and Follow-Up
Achieving patient satisfaction hinges on adherence to recommended protocols. Honest communication and following prescribed treatments lead to optimal outcomes. We offer a lifetime warranty with discounted future sessions up to 55%, ensuring continued support and refinement of results.
Questions Answered
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Question: Hey doctor, I have a question. Is there any possible way to get rid of freckles naturally from the sun?
Dr. Qazi: Absolutely, the first step is consistent use of sunblock. Sun protection is paramount. Additionally, incorporating products like Eucerin Anti-Pigment Cream combined with tretinoin at night can yield significant improvements. However, for more stubborn cases, treatments like pico laser might be necessary. -
Question: Hey Dr. Qazi, I'm new here. Do you have any recommendations for hyperpigmentation from acne?
Dr. Qazi: Great question! For post-inflammatory hyperpigmentation, start with over-the-counter solutions like Eucerin Anti-Pigment Cream. If the pigmentation is more stubborn, consider stronger treatments such as hydroquinone or pico laser. -
Question: What are your thoughts on 40% lactic acid for acne scarring?
Dr. Qazi: It's quite aggressive and may irritate the skin excessively. This method isn't generally effective for most scar patients and should be approached cautiously. -
Question: Why is subcision not always done when doing Bellafill treatments for acne scars?
Dr. Qazi: Subcision is depth-dependent. Not all scars require subcision; it depends on how tethered or stuck the scar tissue is. Sometimes, direct volume replacement suffices without needing subcision. -
Question: I have damaged skin. Would you recommend chemical peels?
Dr. Qazi: Typically, no. With damaged skin, prioritize moisturizing and sun protection before considering chemical peels, which can overly exfoliate and worsen the condition. -
Question: Does Accutane fully clear cystic acne?
Dr. Qazi: While Accutane significantly helps, it doesn’t guarantee complete clearance for everyone. Multiple courses might be needed, but each course offers substantial improvement. -
Question: Does pigmentation come back if we stop using anti-pigment cream?
Dr. Qazi: It depends on the type of pigmentation. Melasma might recur, whereas post-inflammatory hyperpigmentation is less likely to return if managed well with sunblock. -
Question: How many times in a lifetime is it safe to get an aggressive erbium laser done?
Dr. Qazi: Aggressive erbium laser treatments aren’t typically recommended frequently. For maintenance, consider low-energy erbium lasers every six to eight months. -
Question: How do you deal with patients who aren't satisfied with their results?
Dr. Qazi: Satisfaction hinges on adherence to recommended protocols. Honest communication and following prescribed treatments lead to optimal outcomes. We offer a lifetime warranty with discounted future sessions, ensuring continued support. -
Question: What can we do to or avoid for optimal collagen response?
Dr. Qazi: Avoid smoking and vaping, limit UV exposure, maintain a healthy diet free of inflammatory foods, and consider supplements like vitamin C and omega-3s. -
Question: Does subcision with fillers help with rolling scars?
Dr. Qazi: Yes, but prefer collagen-stimulating fillers like Sculptra or Bellafill over hyaluronic acid fillers for better long-term results. -
Question: How can I get rid of PIE (Post-Inflammatory Erythema)?
Dr. Qazi: Start with azelaic acid 10%. If ineffective, consider laser treatments to target persistent redness. -
Question: Dr. Qazi, I've had acne scars pitted for almost 40 years. Is there hope for me?
Dr. Qazi: Definitely! Though it requires patience, especially for central cheek areas, gradual improvement is achievable with tailored treatments over time. -
Question: What is a timeline of results for subcision?
Dr. Qazi: Initial swelling provides immediate visual lift, but collagen remodeling takes several months, with full results seen around a year post-treatment. -
Question: CO2 or microneedling for textured skin?
Dr. Qazi: Mild texture responds well to microneedling, but for more pronounced textural issues, CO2 or low-energy erbium lasers offer superior results. -
Question: How effective is microneedling for acne scars?
Dr. Qazi: Unfortunately, microneedling alone often falls short for deeper scars. Combination therapies provide more comprehensive improvements.
Final Thoughts
In my practice, I strive to offer personalized, holistic care that addresses both the physical and emotional aspects of skin restoration. By combining advanced techniques with a deep understanding of individual needs, we achieve remarkable transformations. Whether you’re battling decades-old scars or seeking solutions for newer concerns, remember that persistence and proper care pave the path to radiant, healthy skin.
The journey to skin restoration is not just about the treatments, it’s about embracing a healthier lifestyle, maintaining consistent skincare routines, and trusting the process. It’s heartening to see patients from all over the world coming to Newport Beach, hopeful and determined to reclaim their confidence.
Thank you for joining me on this journey. Stay tuned for more insights and success stories as we continue to empower individuals to embrace their best selves. Click here to self-schedule your consultation now!
