Hi, everyone. I’m Dr. Qazi, a skin restoration specialist based in Newport Beach, California. My practice focuses heavily on acne scars, pigmentation issues, collagen stimulation, and facial balancing. Today, I want to talk about something that I've been getting questions about—treating temple scars. Over the years, I’ve encountered countless patients who were told their temple scars couldn’t be treated effectively. But let me tell you, with the right approach, we can achieve incredible results.
Temple scars often cause significant distress, especially for men who feel limited by hairstyles or haircuts they need to conceal these scars. The good news? This area responds well to treatment if addressed early. The temple is unique because it allows for faster collagen responses compared to other areas of the face. With minimal volume enhancement, you can see substantial improvements. Let’s dive into how I tackle this challenging yet rewarding aspect of skincare.
Understanding Temple Scars and Treatment Options
When dealing with deep, thick temple scars, many patients come to me feeling hopeless. They’ve tried various treatments without success, but I assure them that there’s hope. One of the most effective techniques I use is subcision , which involves breaking up scar tissue beneath the skin. By doing so, we create space for new collagen to form, lifting the scar from underneath.
In addition to subcision, I often combine treatments like TCA CROSS (a chemical reconstruction method) and dermal fillers such as Bellafill. These multi-modal approaches ensure comprehensive healing, addressing both texture and depth simultaneously. For example, recently, I treated a patient whose temple scars had persisted despite multiple subcisions elsewhere. After just one session combining TCA CROSS, Bellafill, and laser therapy, her transformation was remarkable—a testament to the power of tailored, strategic care.
Why Timing Matters in Scar Treatment
Timing plays a crucial role in successful scar treatment. Early intervention not only prevents further damage but also enhances the body’s natural ability to regenerate collagen. In darker skin tones, particularly Fitzpatrick types 4-6, I find that patients often exhibit robust collagen responses when treated properly. However, lighter skin types might require more aggressive therapies due to accumulated sun damage over time.
It's essential to avoid excessive heat or energy-based treatments in sensitive areas like the temples. Instead, manual tools and precise application methods yield better outcomes. Remember, patience is key; while initial swelling post-treatment might make scars appear less noticeable, true improvement unfolds gradually through consistent collagen production.
The Role of Mental Health in Skin Restoration
Treating acne scars goes beyond physical appearance—it’s deeply intertwined with mental health. Many patients experience anxiety and depression due to their scars, which affects their overall quality of life. While addressing the physical aspects of scarring is vital, it’s equally important to consider underlying emotional factors.
I encourage patients to seek counseling and join support groups alongside their physical treatments. Behavioral modifications and holistic approaches help manage stressors that exacerbate anxiety and depression. For instance, work-related stress or family issues might already be under control, but adding acne scars to the mix can push someone over the edge emotionally. Therefore, tackling both mental and physical aspects ensures comprehensive healing.
Addressing Common Misconceptions About Laser Treatments
There are numerous misconceptions surrounding laser treatments for acne scars. Patients often believe that aggressive fractional CO2 lasers combined with radiofrequency microneedling will dramatically improve their scars quickly. Unfortunately, this isn’t always the case. Fractional CO2 lasers aim to soften scar edges and stimulate collagen production, but they rarely provide the dramatic results promised.
In reality, combining multiple modalities under a single session proves more effective. Techniques like subcision, TCA CROSS, and volume replacement work synergistically to deliver faster, noticeable improvements. For example, treating a Fitzpatrick type 4 patient requires precision and strategic planning rather than blanket high-energy treatments. Overheating sensitive areas like the temples can lead to complications, underscoring the importance of personalized treatment plans.
Questions Answered
- Question: Do you recommend microneedling and CO2 in the same session will it we get good results?Dr. Qazi: Combining microneedling and CO2 depends largely on your skin type. If you're Fitzpatrick 4 or above, practitioners might aim for superficial treatments with minimal heat. While possible, it's vital to understand the rationale behind combining these modalities and consult someone experienced in treating diverse skin tones.
- Question: I had an acne scar and Bellafill was injected years ago I now have a nodule does cold laser therapy helpDr. Qazi: Cold laser therapy isn't always necessary. First, assess the nodule via ultrasound to determine whether it's excess collagen or residual Bellafill. Steroid injections combined with 5FU often resolve nodules effectively. Subcision or radiofrequency microneedling might also prove beneficial depending on the diagnosis.
- Question: Does TCA CROSS cause more scars and make them deeper please helpDr. Qazi: No, TCA CROSS doesn’t worsen scars if performed correctly. I adjust concentrations based on scar depth, ensuring safety across different facial zones. With careful technique, repeated applications safely improve scarring without adverse effects.
- Question: Are there other people doing what Dr. Davin Lim does besides you in the United StatesDr. Qazi: Yes, Dr. Mark Taylor in Utah specializes in similar procedures, primarily catering to Fitzpatrick 1-3 skin types. My practice, however, predominantly serves darker skin tones, offering personalized solutions for complex cases nationwide.
- Question: Could acne scars ever be 100% goneDr. Qazi: Achieving complete scar removal varies per individual. Some scars disappear entirely, while others remain faintly visible under harsh lighting. Focus less on “completely gone” and more on achieving a result where scars blend seamlessly under normal conditions.
- Question: Do you do free consultationsDr. Qazi: Consultations cost $150, applied towards future treatments. Visit doctorqazi.com to schedule your appointment conveniently online.
- Question: Should all right acne scar treatments covered by health insurance that the person is severely depressedDr. Qazi: Insurance coverage varies. Address underlying mental health concerns holistically. Seek counseling, behavioral modifications, and support groups alongside physical treatments to manage anxiety and depression comprehensively.
- Question: What do you do for acne scars on the neckDr. Qazi: Neck scars demand gentle handling. Blunt cannula subcision minimizes trauma, followed by low-energy lasers and TCA CROSS. This combination ensures safe yet effective healing without compromising delicate neck tissues.
- Question: What do you do think about fat transfer for acne scarsDr. Qazi: Fat transfer works wonders for suitable candidates, particularly in regions like the temples. Avoid lower facial areas prone to uneven absorption rates. Assess each case individually to determine viability.
- Question: Does Bellafill fill in scars immediatelyDr. Qazi: Bellafill provides immediate temporary swelling thanks to its bovine collagen component. However, expect gradual settling within 30 days, leaving 20% permanent filler. Full results emerge over six months to a year as natural collagen regenerates.
- Question: What's the main difference in treating different types of acne scars in a person of colorDr. Qazi: Darker skin requires minimal heat/energy input. Manual interventions like subcision and TCA CROSS dominate treatment plans. Lighter skin tolerates aggressive ablative CO2 lasers better, though overall strategies depend on individual needs and skin condition.
- Question: What do you think about PicoSure for textureDr. Qazi: PicoSure improves mild textural issues slowly. It offers another tool in our arsenal but isn’t universally ideal for deep scars. Tailor expectations based on specific scar characteristics and desired outcomes.
- Question: Doctor after doing microneedling or radio frequency microneedling or CO2 for first few days the scars are looking very less but after some days it's like no improvement why is this happeningDr. Qazi: Initial swelling creates an illusion of rapid progress. True scar remodeling relies on steady collagen synthesis, taking weeks to months. Fractional CO2 lasers complemented by manual techniques deliver superior long-term benefits compared to standalone high-energy sessions.
- Question: Hi Dr. Qazi if you had to pick one approach what you think is the best to improve depth of scars?Dr. Qazi: Subcision reigns supreme for improving scar depth. Breaking fibrous bands beneath scars facilitates volume restoration and enhanced contouring. Follow-up with volumizing agents solidifies lasting aesthetic improvements.
Conclusion
Treating temple scars and other forms of acne scarring requires expertise, precision, and personalized care. As a specialist committed to helping individuals regain confidence, I emphasize comprehensive strategies blending cutting-edge technology with proven manual techniques. Whether you’re struggling with persistent temple scars or seeking holistic solutions for broader skincare challenges, remember: transformation is achievable. Schedule your consultation today by clicking here, and take the first step toward renewed self-assurance.
