Acne Scars Blog
Please feel free to use the blog below to share information about Acne Scars, or to ask Dr. Ringpfeil a question that might be of interest to others.
The Philadelphia Center for Dermatology and Cosmetic Surgery
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rad@ringpfeildermatology.com
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Acne Scars Treatment
| Treatment comparison | CO2 Laser | Fractional CO2 Laser | Photodynamic Therapy | FRAXEL(TM) | TCA Peel | Restylane/ Juverderm |
Radiesse | Punch Grafts |
| Ice pick scar | +++ | ++ | - | + | + | - | - | ++ |
| Box scar | ++ | ++ | + | + | + | ++ | ++ | ++ (if small) |
| Rolling scar | + | + | + | + | + | - | - | - |
| Large pores | +++ | +++ | +++ | + | + | - | - | - |
| (uneven)Texture | +++ | +++ | +++ | + | ++ | - | - | - |
| Days downtime | 7-14 | 4-7 | 2 | 4-6 | 5-7 | 0 | 0 | 7 |
| # Treatments | 1-2 | 1-2 | 4-6 | 4-8 | 1 | 1 | 1 | 1 |
| Lasting results | permanent | permanent | permanent | permanent | 1-2 years | 6-12 months | 12-18 months | permanent |
| Total Price | $3000-$6000 | $3000-$4000 | $1800-$2700 | $4000-$7000 | $500 | $600 | $$350-850 | $185-$2000 |
Next available appointment
for acne scar treatment Tue, Feb 07 8:45AM
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Uncensored Patient Reviews
Last updated: 2012-02-03 15:40
Number of reviews: 3191
Patients recommand us: 99.34%
Scar Types
Ice pick scar
Box scar
Rolling scar
Acne Scar before and after
before
after
Effective Acne Scar Treatment
combines the follwing modalities:
CO2 Laser
Fractional CO2 laser
Punch grafts
Fillers
Peel treatments
Photodynamic Therapy
Acne and acne scar treatments are among the core treatments performed at our practice.
To benefit the large number of our acne scar patients we operate only the most effective lasers for scar removal. Our experience enables us to combine lasers, punch grafts, photodynamic therapy, fillers and peel treatments to offer you the most efficacious and cost effective solution for your condition.
Book a consultation with Dr. Ringpfeil to learn what treatment plan is most suitable for you. This consultation is covered by most insurance plans.
The treatment
True acne scars can only be improved by removing the top layers of the skin and letting the skin build a new surface combined with maximum collagen production from underneath. This can be best achieved by CO2 laser resurfacing. The laser assures precise depth of abrasion, thereby minimizing complications that were common with dermabrasion (not microdermabrasion), such as permanent pigment change.
Deep pitted scars require punch grafts 4-6 weeks prior the laser procedure for maximum fill. Nowadays, fillers can be used to bolster scars. Often, acne scars may be preventable if acne treatment is started early.
Treating acne scars with DeepFX laser
56 Responses to “Acne Scars”
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Ringpfeil Advanced Dermatology | 569 W. Lancaster Avenue | Haverford, PA 19041 | rad@ringpfeildermatology.com | 610.525.5250
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Do you also have the Deep FX technology?
I am a South Asian who has had 2 sessions with the Lasering Mixto SX in the last 4 months for acne scarring. My initial judgment is that it has helped, but I feel like I want more results.
I am considering something with more power; as I understand it the Deep FX is capable of penetrating the entire depth of the dermis.
Yes, we use the DeepFX for acne scarring.
My daughter had bad acne on her cheeks and now has acne scars. About 6 years ago when her acne started I took her to a dermatologist who put her on accutane and it was clearing but he also made her go on birth control pills to make sure she didn’t get pregnant. At one point the acne started getting so bad while on the accutane and the pill she went off the accutane but continued on the pill. She got like these red splotchy areas which made scars (not pitting) on her cheeks. I thought maybe she was allergic to something in the pill but she disagreed with me and continued on the pill. She switched from one birth control pill to the next and none of them cleared the condition. The only one that was kind of working was yaz but she got UTI’s on it and quit taking it. Anyway I brought her to a plastic surgeon in South Jersey because she was so depressed. She never even saw the plastic surgeon but instead an esthetician that recommended micro dermabrasion and light peels. After many months and treatments later (not to mention the money) her face doesn’t look any better. In fact I think it looks worse. I want her to have her self confidence back. She is so depressed all the time and says “I hate my face” and “I just want to cut my skin off my face”. I feel so bad I cry when I hear her say these things. I had acne and have scars on my face as a result also but I deal with it. (I am 50). Her older sister responded to accutane after three six month treatments of it over 2-3 years. All her acne is gone and not one scar is on her face. (Thank God) What do you think? Will the CO2 laser help her? How much will it cost? It’s on both of her cheeks. Thank You, Dolores
Unfortunately, it is not easy to deal with scars especially not when located on the face. From your description, she may be a good candidate for CO2 laser treatments, which have been the gold standard for many years, but further improvement has been achieved recently through advances in techniques. It appears that your daughter does not have active acne anymore which means that treatment could commence anytime. The current approach to acne scars are multiple treatments on average 3-6 for severe acne scars, each 2-3 months apart. Downtime for each treatment (crusting and scabbing on her cheeks) must be considered. The overall cost is close to or the same as a one-time resurfacing of the entire face (currently $3000).
Dr. Ringpfeil,
This past year I had two full face non-ablative Fraxel treatments at another clinic to treat some acne scars and skin tone/texture issues. While I did have some success with my most superficial scars, the one large scar on my cheek has not improved much, even though I had a couple of follow-up spot treatments on it. After the first Fraxel my skin did appear brighter a few weeks later, but the second and more aggressive treatment left my skin with a reddish/brownish blotchy tone that still hasn’t gone away more than 7 months later. Is that a sign that I was burned by the laser? Is the damage permanent?
My daily skin care routine is super gentle and I wear SPF 40 daily, so I’ve done my part to help my skin heal, but I want my normal skin tone back. Does PDL or KTP laser treatment help with redness/discoloration caused by the Fraxel treatment? I’m worried it would only make it worse.
Thanks for your response!
A red brownish blotchy tone suggests pigment change after inflammation.
Inflammation is generally desired with laser treatments and temporary pigment change can sometimes not be avoided It is not typically permanent and not considered a scar but may take a long time to resolve. Sometimes it may be desired to push the “extra” color away quicker than your body does it on its own by using fading agents for brown discoloration or lasers that target redness (both PDL and KTP work on redness). None of these modalities are expected to make it worse but caution must always be exercised. In any event you must continue diligent sunscreen use to avoid that UVA rays cause additional discoloration.
Thanks for your reply, Dr. Ringpfeil.
I was told to expect some temporary pigmentation, and that the inflammation that causes the redness indicates healing and skin repair is going on, but I was never told that it could last this long. How long could it possibly take for my normal skin tone to return? How much time can pass before this is considered permanent?
After the treatments I used a fading agent but I think it irritated my skin more and increased the redness. Still today after a hot shower or exertion my redness sort of flares up.
Most of the time, it takes between 6 weeks to 6 months after deep laser treatment for skin color to revert to normal. With UVA exposure, e.g. non-diligent use of sunscreen, or sometimes under rare unforeseeable circumstances it may take years.
Post inflammatory changes are not considered permanent unless a scar is also present – your description does not suggest a scar. Many areas of previous inflammation show more redness after heat exposure, e.g. in the shower. This is considered normal and will eventually go away as well. It is unfortunate that you could not tolerate the fading agent. I suggest that you ask your laser surgeon to recommend an alternative fading agent. Please understand that I cannot give specific advise without examination of your skin.
Hello, doctor. I am about thirty years old. When I was three years old, I took a glass bowl in the kitchen and run to my grandma. Unfortunately, I fell down and the broken glass bowl injured my face, and I have scars. I have researched some effective scar treatments. And i found laser techniques maybe can help me to make my scars less noticeable. Could you help me analyze my case and give me some professional advice? Thank you so much.
CO2 or Erbium YAG laser resurfacing appears to be a great treatment for your chronic Hailey-Hailey spots. From the first reports that came out more than
10 years ago we were able to deduce that results can be long lasting. If you think about it, it took your skin 30-40 years on average to show the changes. My experience is entirely based on CO2 laser technology to treat Hailey-Hailey spots. Wound healing is not impaired and therefore proceeds extremely well in areas without friction. The procedure on the trunk or buttock is similar to facial resurfacing. When treating skin folds or thin skinned areas, such as the neck, groin or vulva, much more care must be exercised. This may mean more than one treatment to achieve durable success and avoid scarring. However, scarring is at least a theoretical risk in these areas. If your dermatologist is well versed with the CO2 laser and feels comfortable to treat delicate skin, he or she may be capable of getting the results that you are looking for.
Different treatment can indeed improve many scars significantly. Lasers are used when textural or color improvement is needed. Fillers may be more appropriate to lift certain scars. Your scars should be evaluated by a dermatologist or plastic surgeon who performs scar treatments.
Hi Dr. Ringpfeil,
I have acne scars not on my face but on my stomach – it’s like dark spots scattered on my abodomen & because of this I’m having problem undressing in front of people. wonder if the CO2 laser procedure will help remove these scars or whatever is your recommendation, I might also come in for further consult. Thanks Jake
Jacob, Without evaluation of the scar, I cannot be sure about the best treatment approach. If hyperpigmentation is the most prominent, fading agents or fading peels may be better than CO2 laser. During an in- office evaluation I will be able to give you the best options for your scars.
I am also considering some recommendations on home remedies. Is there any?
Scar treatment pictures by Dermaroller are astonishing however thus far,
there are no reliable and reproducible home remedies.
I have had acne since high school and am now left with discoloration and some acne scarring. They are not very deep scars, but I have tried fraxel laser( only 2 appointments because of the price), microdermabrasion( 5 treatments in 5 months, and glycolic acid peel(paired with the microderm). They left my skin feeling smooth, but there has never been an improvement with the scarring. I am interested inTCA peel. Could this help the scarring better than the other methods I have tried. I have seen other people have more severe scars and hace had better improvement than I have had. Every dermatologist I went to says mine isn’t too bad so they want to do microderm or a peel, but these methods have not worked in the past. I just want something that is actually going to be effective and not wasting more money. Thank you!
Everyone with scars, especially when they are located on the face like most acne scars, wishes them gone. The most effective treatment for most acne scars is CO2 laser treatment but one treatment gives you only about 50% improvement in depth and texture. Many people will add spot treatments after full face treatment for further scar reduction. CO2 laser works better than many other treatments because it reaches deep to undo fibrosis that pulls a scar down and it works superficially to retexture the surface and blend the scars with the surrounding skin. TCA peels are by definition superficial peels that retexture the skin and minimize the difference between your skin and sunken scars. TCA peels are usually repeated after 1-3 years as the skin builds back up again. For some scars and specifically when there are only a few of them, fillers may even be the most effective option.
I want to know exact cost of acne laser treatment . because I want to do that I am suffer from this frustrating acne so please reply me.
laser treatment
Facial laser treatments for acne are 250 per treatment and photodynamic therapy is 450 per treatment. Please schedule an appointment so that we can establish possible treatment options and a treatment plan for you.
Hi,
What are you thoughts on microneedling versus a laser for acne scars?
According to the manufacturer’s website, microneedling seems to be treating almost every condition. I am hesitant to endorse this technique other than for improved uptake of topical products (please never use before sunscreen in the morning!). It may in fact make a difference in product delivery in those who do not use a topical retinoid regularly. However, I will be able to comment on its efficacy in acne scars only when studies are available.
I have a deep large scar on my face from chicken pox. I would like to have it worked on, how effective is a punch graft and what are the risks?
Punch grafts are very effective but due to advances in CO2 laser treatments, they are not performed as often anymore. They are taken from behind the ears or another color matched site and are typically followed by laser resurfacing to blend them in. We have been able to elevate chicken pox scars by just CO2 laser alone. Evaluation is necessary to give the best treatment options for your scars as skin type, texture and color changes in the scar must be taken into consideration.
Hi Dr. Ringpfeil,
I’m a 31 year-old black woman with light/medium brown skin. I’ve had light to moderate acne since I was a teen. My pores are very large, I’m starting to see depressed scar marks on my cheeks, and I have some dark scars. I’ve been researching the best options for my skin tone and type and it seems that many treatments are more risky for darker skin tones. Most recently, I heard about “derma rolling“. I’m interested in this procedure since, from what I’ve read, it is safe for all skin tones and types. Is this a service you offer? Is it one that you would recommend? If not, what treatments are safest for my skin tone and type?
Thank you,
Renee
You are right about some treatments having unwanted side effects on darker skin types. Proper acne control is a prerequisite to scar treatment and may include prescription items as well as ancillary treatments designed to speed up resolution. The latter include acne facials, peels, microdermabrasion, and even photodynamic therapy. With darker skin you may have to stay away from some IPL treatments such as Isolaz. Derma rolling should be tolerated on your skin type. In my experience it only increases penetration of your topical products but does not treat acne or acne scars by itself. It is unnecessary to perform if you are able to use a retinoid or other agents that speed up skin turnover as part of your acne treatment. Therefore, we do not offer derma rolling but I have heard some spas do.
Acne scar treatment on darker skin is possible but may take more treatments than on fair skin. Certain treatments cannot safely be performed such as TCA peels, old-fashioned dermabrasion or full CO2 laser resurfacing. However fractionated CO2 laser treatments can be performed.
As with all medical procedures, there will be side effects, though the procure is remarkably safe! Results for acne scars are permanent. It is very encouraging to read your post and to know that there are treatments that really work for acne scars. I got acne problem about a year ago as you can see the red acne scars that left behind from acne. Although it is not severe, I can relate to you. It really affects our appearance and how we feel about ourselves. I lost so much confidence in myself when I first got acne.
I had erbium laser resurfacing almost 5 yrs ago. I was left with a lot of scars on my cheeks & a dent. Am I able to have co2 laser resurfacing to correct the damage & is it any less expensive just to have the cheeks done insted of the whole face? Thanks
It is not clear to me from your message whether the scars exists before the erbium treatment or after the treatment. I will present an answer to each interpretation.
If scarring occurred after erbium laser resurfacing, CO2 laser resurfacing may not be able to correct the outcome and could potentially enhance the problem. Scarring is not expected after erbium laser treatment, CO2 laser treatment or superficial peels. If it occurred after a procedure that is per se non-scarring, you should be cautious about undergoing any other procedure.
If you meant to say, you had laser resurfacing for scarring but were still left with scars after erbium laser treatment, then CO2 laser resurfacing should offer improvement. CO2 lasers are more powerful than erbium lasers, which translates to better results but longer downtime. However, there is no technology to date that can fully reverse scars. All methodologies that are currently in use strive to improve scars.
My sport causes a large number of abrasion, how long should I wait before considering an abrasion healed and the resulting discoloration a scar?
An abrasion can take 10-14 days to heal, rarely even 3 weeks.
I would like to know if Scars Removal Treatments are covered by United Health Care Ins., I am really interesting in this, I need to get rid of a scar that I have and got the feeling that this is the right place for me, please can somebody let me know as soon as possible.
Scar treatment is generally not a covered service. However most insurances will make an exception and cover scar revision if a previous skin cancer surgery caused a disfiguring scar. Also, most insurances cover the treatment of a keloid, which is a special type of scar that usually continues to grow and causes symptoms.
I have scars from previous cosmetic surgeries (liposuction). Is there a form of laser surgery that would effectively remove or lighten these scars? They are not raised. Thanks!
Most scars improve without any additional help over time showing their final appearance by about 2 years. Laser treatments can remove the red color from most scars regardless of their age and can be performed as soon as 2 weeks after a procedure. The average number of treatments needed ranges from 2-6 and they are typically spaced 4 weeks apart. However you should keep in mind that redness will have faded naturally from most scars by 6 months. If a scar is darker than the surrounding skin, and the darkness is predominantly due to a brown pigment deposition, treatment can be very difficult.
I have some healed scars on my legs but the scars won’t go away I’ve tried everything can u help me
By definition, a scar is a permanent reminder of an injury that our body has sustained. In the skin, it occurs after an injury that affects the border between the upper layer of the skin (epidermis) and the lower layer of skin (dermis). Injuries that are contained within the upper layer of the skin do not form scars. When the skin has not been traumatized from the outside but from acne breakouts or other rashes that cause severe inflammation in the lower layer of the skin, pigment changes could occur in the affected area. These changes are called post inflammatory hyperpigmentation or hypopigmentation. They can last many months and rarely years. Many people confuse the latter with scars because they take so long to resolve.
Modern technology has turned around treatment for scars. Significant improvement can now be achieved in many scars with the use of several lasers and other treatments. Post inflammatory hyperpigmentation can also be tackled. Please set up an evaluation so that we can tailor a treatment regimen to your needs.
hello, I have an acne scar that had been on my nose forver and it looks pumpy. Do you think Laser treatment can help to remove it?
Unfortunately, your description does not allow me to judge if it can be treated by laser. Please make an appointment for evaluation.
Hello,
After many years of acne I have scarring all over both cheeks which I hope to improve. I want to do as much as I can for better skin texture and am wondering if it is usually necessary for people to take off work/stay home after having treatment. Do you feel that people are often happy with their results? Do you have any examples of before ad after photos? I know you can’t totally fix the scarred skin but I am hoping for a visible improvement. Also, I live about 4 hours away and would like to just get a consultation first. How long are your appointments? Thank you so much!
CO2 laser resurfacing reduces acne scars by 50% which means quite some reduction in scars and significant improvement in texture. Most will take off one week after treatment but there are some who may get away with as little as 5 days. A consultation is a must before CO2 laser resurfacing and we provide a new patient appointment for this reason. Most additional questions before the actual procedure can be dealt with over the phone but occasionally we have to ask that an additional consultation be scheduled.
Follow up after 7 days is routine. If any signs of infection occur, in-office evaluation within the first week is mandatory. Therefore, this procedure requires you to be in close driving proximity to the laser surgeon’s office for one week which should filter into tyour decision making when you select the treatment site.
I have a torn ear lobe and a keloid on the same ear, can this be fixed and about how much would it cost?
This is a very difficult question to answer. It is very possible for a keloid to occur at an earlobe repair site in someone who already has a keloid, be it in the same area or elsewhere on the body. If you definitely wanted to repair the tear, it would be important to treat the existing keloid first. If it is responsive to steroid injections, surgery to the torn earlobe may be followed by steroid injections to suppress a keloid from forming at the surgical site. You are certainly taking a risk and should consider very carefully.
Hello,
I am interested in acne scar removal, but I recently learned that I am pregnant. Are there any risks to having any of these procedures done while pregnant?
Acne scar treatment comprises a host of different procedures.
Microdermabrasion and glycolic acid peels are allowed during pregnancy. They carry no to minimal risk. TCA peels and laser treatments are elective procedures that carry some risks, and therefore are not performed during pregnancy. Filler injections are also not usually carried out during pregnancy.
Dr. Ringpfeli,
I am considering coming in and performing treatment to cure my scars. I have used peels in the past with no improvement. I am in graduate school and find that acne scars are preventing me from landing the job. I have south asian skin and different types of scars and discoloration. Have you treated tan skin and are there any practical solutions for my acne scars? Thank you
Scar treatment has much improved over the past years, mostly due to improved laser technology. We have successfully treated many individuals with acne scars and “Asian” skin, as well as other more tan skin types such as Mediterranean, Central American and the darker South American. The type of treatment that will work best for you can be determined during a consultation, and may include several technologies. However, at this time, there is no cure available for scars; in other words, it is still not possible to trade scars for normal skin. The best technology will give you about a 50%-70% improvement.
Dr. Ringpfeil:
I am 27 and acne has always been a huge issue. I have tried Differin Gel, Jan Marini products, Doxycycline, HCTZ, Proactive and Retin-A. All have which failed. After getting pregnant my skin seemd to calm down but I do suffer from some harsh breakouts. I have suffered from cystic acne as well leaving me with awful scars. I have some scars that look like white lumps (not keloids) others look like “craters” and others look like “ice pick”. I would love to minimize the appearance of these scars. I use entirely to much make up to try to camaflouge these issues but I think it makes it more noticeable but I do not dare to leave my home without makeup. It is very embarrassing. Since I have such a variety of different scars would one type of treatment be sufficient for all? Would I have to get my current acne under control before proceeding with scar treatment? Also since acne is a “medical condition” would any of the treatments for active acne and acne scar treatment be covered by insurance? Do you think a TCA peel would be appropriate treatment? What is the down time for “punch excision”? Thank you so much for your time.
Acne and acne scars can be difficult to handle and often lower self-confidence. Acne treatment is important and it is also a prerequisite to some type of scar correction as some treatments such as TCA, resurfacing etc could temporary flare acne. Medications used for acne treatment are typically insurance covered and so are the office visits. The treatment of acne scars is currently not covered by insurances. Unfortunately, insurances explicitly exclude acne scars from coverage. The choice of treatment depends on your skin, your scars and financial means. TCA is one modality for severe scars. Often, punch excisions are usually used as a pretreatment for other, more extensive procedures. You should be evaluated for your needs.
I have suffered with moderate to severe acne since my teenage years. I am now in the process of trying to remove as much of the scaring as possible. I did some research, and found that punch techniques should be done before skin resurfacing with a laser. However, the local doctor that I have seen wants to do an Erbium laser resurface before any punch excisions. He says that after the resurface,depending on the results, he can then do any punch excisions and spot treat again with the erbium laser.He says that doing it the other way could make some of the scaring worse. Do you agree?
Newer laser technology has been able to dramatically reduce the need for punch grafts, which in the past were often necessary to address deep ice pick acne scars. When indicated, punch grafts are typically done at least 4 weeks before the resurfacing procedure. They must be followed by resurfacing as they are otherwise quite obvious. Under certain circumstances, it may be reasonable to resurface acne scars first and then punch graft only the very few remaining deep lesions, followed by spot resurfacing.
I once had a genital piercing that has left me with what I believe is either a keloid or a hypertonic scar, which I would like removed. What are my options and how much are the costs? Any information would be greatly appreciated!
Hypertrophic scars and keloids are very different in their biologic behavior. Both cannot be removed without trace but both can often be injected with a steroid and will reduce significantly or may resolve to a flat scar. There are circumstances under which scar revision by excision for a hypertrophic scar may be preferred, especially when the expected scar is minimal. However, the chance of another keloid developing, when an existing keloid is excised, is about 90%, and therefore excision is usually not an alternative. If several steroid injections soften a keloid without flattening it, shave excision may be attempted with additional steroid injections at time of excision, as well 2 and 4 weeks after to minimize the risk of a returning keloid. In very rare instances, when a keloid does not respond to steroid injections or is so large that it cannot be injected, radiation may be necessary.
Cost of the procedure depends on the size of the lesion. We typically charge $50 per injection and anywhere between 1-3 may be needed for hypertrophic scars and between 2-10 treatments for keloids. Revision of hypertrophic scars by complete excision ranges between $150 (up to 5 mm) and $400 (over 4 mm). Shave removal of keloids may range between $130 (up to 5 mm) and $230 (over 2 cm). Three steroid injections needed after shave removal are charged in addition to the shave removal as mentioned above.
Radiation is not a service that our office performs because it is rarely needed.
While the revision of hypertrophic scars is not always an insurance covered service, most insurances cover the treatment of keloids.
Dr. Ringpfeil,
I had cystic acne as a teenager that left me with pitted scars as well as overall uneven skin texture. There seem to be so many options. I need your assistance in locating a surgeon who has a great deal of experience with punch grafting and subcission. I will then come to you for the laser treatment. Do you use the Fraxel type laser system?
I greatly appreciate your help!
We perform punch grafts and subscision as needed several weeks prior to resurfacing by CO2 laser. In fact, I do not use Fraxel technology as it has not met expectations over the past 4 years since it entered the market even when 4-8 treatments were performed. The company that makes Fraxel has since developed a CO2-Fraxel combination system because Fraxel alone could not deliver results. However, we use the flagship of CO2 laser technology, the Ultra Pulse by Lumenis. Until today, the Ultra Pulse is still the most robust and versatile CO2 laser on the market, which is especially important for the outcome of scars.
Do you use the Variable Pulse YAG Laser? And if not why not? Thanks for your input, it’s overwelming how much info. is out there!
The Variable Pulse ND:YAG Laser is not appropriate for treatment of acne scars.
I understand that the cosmetic technology available at this time must be overwhelming for a layperson. The choice of laser depends on the condition and skin type to be treated. It must also depend on the experience of the laser surgeon. Laser technology has made a tremendous impact on the ability to correct cosmetic concerns but is not without risks. A variable pulse Nd:YAG laser can be used for a host of conditions including hair reduction in all skin types, blood vessel treatment, redness reduction, skin rejuvenation, wrinkle correction and others. The downside of an Nd:YAG laser is its lack of specificity to treat some of the above conditions and most of the time, more efficient and specific lasers are used by advanced laser surgeons to achieve goals safely and quickly. A complimentary consultation with our aesthetician can help you better understand treatment options that are appropriate for you.