Excision and its role in acne scar treatment by Dr. Philip Young: I think that people with acne tend to have healing issues more so than the general population because their skin’s vascularity is compromised and hence the tissue and closure of the skin heal in a less than desirable manner. The way to combat this situation is to do fat grafting, in my opinion. Fat grafting as a procedure that starts off the whole process can really help the situation. It does this by freeing up the scars, increasing the vascularity to the skin, stretching out the skin so that the scars are not as deep, etc. Also there are stem cells in the fat that may contribute to healing the skin as well. The healthier skin after fat injections can have a significant impact in healing when future procedures are done. Frankly, there are some scars that will only respond most favorably when excision is the major method that is used. Here is a video on excision of acne scars.

Excision is an important technique in Acne Scar Treatment. There are some scars (many of them actually) that will benefit most from excisional methods The outcomes are variable depending on your genes, the degree of your scar, location, healing, procedure preparation (how you prepare for the procedure), etc.  One person / client may have more of an issue with healing because of reactions that they may have to the suture used. I have had many patients whose bodies are just not as compatible with some of the absorbable sutures that we use to close incisions. Their bodies react to the sutures and the healing can be very difficult. In this situation, I use more permanent less reactive sutures to close the incision. The skill, consideration, and experience of the surgeon / doctor can have a major impact (among many other variables). I think that people with acne tend to have healing issues more so than the general population because their skin’s vascularity is compromised and hence the tissue and closure of the skin heal in a less than desirable manner. The way to combat this situation is to do fat grafting, in my opinion. Fat grafting as a procedure that starts off the whole process can really help the situation. It does this by freeing up the scars, increasing the vascularity to the skin, stretching out the skin so that the scars are not as deep, etc. Also there are stem cells in the fat that may contribute to healing the skin as well. The healthier skin after fat injections can have a significant impact in healing when future procedures are done. Frankly, there are some scars that will only respond most favorably when excision is the major method that is used.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

come visit our main website at www.drphilipyoung.com

Are TCA Peels good for acne scarring, ice pick scars, etc by Dr. Philip Young? TCA peels can be used for full face resurfacing or spot treatments for acne scar treatment. For Full face chemical peeling, you can improve ice pick scars and box scars. I typically add dermabrasion to medium depth TCA peels for more benefit. Also, I use stronger strength TCA (trichloroacetic acid) peels for ice pick scars to help them raise up. I like to also incorporate fat injections, subcision to elevate depressed scars. I think fat injections are a step up from subcision which adds a layer of tissue under the scars for more benefit, more vascularity to help your scars heal, and to elevate scars, etc. I have many videos for you to watch and pages to read on our website. Here is a specific video on the TCA CROSS Method. You have to scroll down to where the videos are and it will be the first one. Here is the link to the YouTube Video on TCA CROSS Method by Dr Philip Young. One of the exciting new approaches that we would like to talk about is our new Acne Scar Vitalizer Treatment. This multilayered approach could transform this segment of medicine that treats acne scars.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

come visit our website www.drphilipyoung.com

What is Subcision and how does it help Acne by Dr. Young of Bellevue? Subcision elevates acne scarring to improve  your appearance. This is carried in a couple of different ways. One method is to use a needle that is worked underneath the skin from multiple entry sites. The needle is worked back & forth to stimulate the tissue underneath the scars. This causes a layer of tissue to grow under the scars that helps to release the scars and to allow the scars to rise up.  Another form of subcision is by way of incising around scars that are then elevated and sewn to the surrounding areas.  This is another way of elevating depressed scars. We have some wonderful videos on acne scar treatment with before and after photos. Here is a link to an acne subcision video. Even better than subcision is our new approach to acne scarring called the Acne Scar Vitalizer Treatment.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Come visit our webpage here: Aesthetic Facial Plastic Surgery

Self Induced White Scars on Arm and Treatment Options by Dr. Philip Young of Bellevue | Seattle Washington:

Question: I have White scars on my arm from self induced trauma and have tried dermarolling with little results, what are my other options for these scars?

Dermabrasion, co2 laser resurfacing, dermarolling,  chemical peels, and other resurfacing techniques can improve scars through scar treatment.  When I’m asked how much improvement they will receive, I typically tell people in the lower percentage range, like 10-30%. To get even better results, a form of excision and then resurfacing can get you better results. I usually tell people when you do this stage approach you have the possibility of getting higher percentage improvement hopefully in the 50-70 to 80% range.  But this depends on many things including how a person heals, the techniques used to improve the scars, and the skill of the surgeon, etc. I have taken care of many of these self-induced scars. Geometric line closures are one approach that I would use for your Scar Treatment.

Thanks for reading, Dr Young

Dr. Philip Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington