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Apart from the basic principles of matching a METHOD for the #acnescar type, skin type and downtime, I identify the rate limiting scar. In most cases this lies on the convex surface of the cheek. My plan of action is to improve this scar with each subsequent treatment, even if it means a slightly longer healing time. This video shows my two step technique for revision in THIS patient. 
TAKE HOME MESSAGE - Always treat the scar type with the a method.
- Manual method are usually better than lasers. - Lasers and energy devices are just instruments in #treatingscars .
- Feel for what the dermis has to tell you about the scar type.
- Majority of patient will have little idea about their depth and complexity of #scarrevision . - Even general #dermatologist will find scar revision a challenge, I certainly do...even when I perform 5-8 treatments daily.
- #chemicalpeels , #subcision , #surgicalscarrevsion , #lasersforscars and #RFmicroneedling are all adjunctive treatments.
- The X factor is not the device, its the expert behind the method.
#realscarrevision #bespokeskinrejuvenation #tailoredskintreatments #nomorescars #newyou #confidence #ethnicskin
59 438 November 2018
Apart from the basic principles of matching a method for the #acnescar type, skin type and downtime, i identify the rate limiting scar. in most cases this lies on the convex surface of the cheek. my plan of action is to improve this scar with each subsequent treatment, even if it means a slightly longer healing time. this video shows my two step technique for revision in this patient.
take home message - always treat the scar type with the a method.
- manual method are usually better than lasers. - lasers and energy devices are just instruments in #treatingscars .
- feel for what the dermis has to tell you about the scar type.
- majority of patient will have little idea about their depth and complexity of #scarrevision . - even general #dermatologist will find scar revision a challenge, i certainly do...even when i perform 5-8 treatments daily.
- #chemicalpeels , #subcision , #surgicalscarrevsion , #lasersforscars and #rfmicroneedling are all adjunctive treatments.
- the x factor is not the device, its the expert behind the method.
#realscarrevision #bespokeskinrejuvenation #tailoredskintreatments #nomorescars #newyou #confidence #ethnicskin
“I have always loved getting only the most natural results from any cosmetic procedures I've ever gotten and I hate scars. Because I model for a living, it's obviously important for me to take care of my aesthetics. I absolutely loved the results from this procedure and would recommend it to anyone.”
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Loving this testimonial from  @anyabenton who had her treatment at @drbentalei’s office in #beverlyhills
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#profoundrf #syneroncandela #syneroncandela_usa #realresults #naturalresults #beauty #face #aesthetics #turnbacktime #collagen #rfmicroneedling #beforeandafter
11 118 June 2018
“i have always loved getting only the most natural results from any cosmetic procedures i've ever gotten and i hate scars. because i model for a living, it's obviously important for me to take care of my aesthetics. i absolutely loved the results from this procedure and would recommend it to anyone.”
▫️
loving this testimonial from @anyabenton who had her treatment at @drbentalei’s office in #beverlyhills ▫️
#profoundrf #syneroncandela #syneroncandela_usa #realresults #naturalresults #beauty #face #aesthetics #turnbacktime #collagen #rfmicroneedling #beforeandafter
@enhanceaestheticarts are amazing at RF Micro Needling with PRP.
This is a skin treatment and this was my first one (two more to go) 
What does RF Micro Needling with PRP does to your skin?
-Reduces signs of aging
-Decrease visible pores
-Reduce acne scars
-Evens out skin texture
-Diminish deep lines -Tighten and firm lax skin
I am already noticing a difference from the first treatment, you are more likely to notice improvements in the second visit. 
P.S: this does not hurt at all :)
Be good to your skin guys and take care of it ❤️you wear it everyday and for me it makes me feel more confident, if you want to see how my skin looks please watch my last face video, I got too close to the camera because I was loving how my skin looked ❤️ Thank you @enhanceaestheticarts for a wonderful experience, you are a great team with lots of experience! If you are located in NYC you definitely need to pay @enhanceaestheticarts a visit ❤️ #skintreatment #microneedling #rfmicroneedling #enhanceaestheticarts #facetreatment #scars #acne #acnetreatment #scarstreatment #injectables #fillers
23 1,408 March 2018
@enhanceaestheticarts are amazing at rf micro needling with prp.
this is a skin treatment and this was my first one (two more to go)
what does rf micro needling with prp does to your skin?
-reduces signs of aging
-decrease visible pores
-reduce acne scars
-evens out skin texture
-diminish deep lines -tighten and firm lax skin
i am already noticing a difference from the first treatment, you are more likely to notice improvements in the second visit.
p.s: this does not hurt at all :)
be good to your skin guys and take care of it ❤️you wear it everyday and for me it makes me feel more confident, if you want to see how my skin looks please watch my last face video, i got too close to the camera because i was loving how my skin looked ❤️ thank you @enhanceaestheticarts for a wonderful experience, you are a great team with lots of experience! if you are located in nyc you definitely need to pay @enhanceaestheticarts a visit ❤️ #skintreatment #microneedling #rfmicroneedling #enhanceaestheticarts #facetreatment #scars #acne #acnetreatment #scarstreatment #injectables #fillers
Acne scar revision is not always ideal. The aim is to treat deep to superficial, however in many cases I have to work with what time contains I have in real life. This is what is possible after 3 sessions within 2 weeks.

TAKE HOME MESSAGE
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👨🏻‍⚕️ Treat the patient. #acnescarrevision is a thinking procedure. 3 main factors govern the order of how I #revisescars . Firstly I grade the type of acne scars-#icepickscars , #boxcarscars , #rollingscars #keloidscars and anchored scars are treated with specific methods. Refer to previous posts.
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💆🏽‍♀️Secondly #skintype needs to be respected, especially with #laserresurfacing . Now, in #asianskintypes and #ethnicskin , I take advantage of #picolasers to target #melanin and post laser skin #hyperpigmentation . Picosure is an excellent laser for decreasing #facialpigmentation and used correctly it can remodel #collagen
I only use Pico lasers at the very end of the treatment. Despite what marketing says, they do NOT work for majority of true #acnescarring
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🙇🏼‍♀️Thirdly patient downtime has to be timed precisely. For Australian patients I normally treat the deepest scars with #tcacross , #subcision & low density #fractionalco2 or #rfmicroneedling. #prp to speed up healing time. For overseas patients I leave leave the TCA CROSS till last as this needs the longest healing time of 8 days. 
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✅#bespokeskintreatments will ALWAYS give superior results. Manual scar revision over devices. Laser, RF, and #microneedling are merely instruments in my workplace.  Always treat the scar type with a method. Everyone has a unique pattern of scar types with Ethic variation commonly seen, but not a steadfast rule
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☄️Back to the after photo, remaining few scars can easily be treated with TCA CROSS - CO2 and subcision. Redness will fade over 6-9 weeks as #erbiumlaser was used to improve skin 'texture'
#drdavinlim #laserjedi #nofilters
168 943 January 2019
Acne scar revision is not always ideal. the aim is to treat deep to superficial, however in many cases i have to work with what time contains i have in real life. this is what is possible after 3 sessions within 2 weeks.

take home message
__
👨🏻‍⚕️ treat the patient. #acnescarrevision is a thinking procedure. 3 main factors govern the order of how i #revisescars . firstly i grade the type of acne scars-#icepickscars , #boxcarscars , #rollingscars #keloidscars and anchored scars are treated with specific methods. refer to previous posts.
__
💆🏽‍♀️secondly #skintype needs to be respected, especially with #laserresurfacing . now, in #asianskintypes and #ethnicskin , i take advantage of #picolasers to target #melanin and post laser skin #hyperpigmentation . picosure is an excellent laser for decreasing #facialpigmentation and used correctly it can remodel #collagen i only use pico lasers at the very end of the treatment. despite what marketing says, they do not work for majority of true #acnescarring __
🙇🏼‍♀️thirdly patient downtime has to be timed precisely. for australian patients i normally treat the deepest scars with #tcacross , #subcision & low density #fractionalco2 or #rfmicroneedling. #prp to speed up healing time. for overseas patients i leave leave the tca cross till last as this needs the longest healing time of 8 days. 
__
#bespokeskintreatments will always give superior results. manual scar revision over devices. laser, rf, and #microneedling are merely instruments in my workplace.  always treat the scar type with a method. everyone has a unique pattern of scar types with ethic variation commonly seen, but not a steadfast rule
__
☄️back to the after photo, remaining few scars can easily be treated with tca cross - co2 and subcision. redness will fade over 6-9 weeks as #erbiumlaser was used to improve skin 'texture'
#drdavinlim #laserjedi #nofilters
Skin back to normal after the pulse dye laser. I felt like I had some under skin welts for a bit, but thankfully they’ve gone. I’m hopefully going back later this month for a second round at a higher intensity. After that I can’t decide whether to get Intensif/Infini or get a deep peel/laser resurfacing 😖💸💸💸
11 111 3 weeks ago
Skin back to normal after the pulse dye laser. i felt like i had some under skin welts for a bit, but thankfully they’ve gone. i’m hopefully going back later this month for a second round at a higher intensity. after that i can’t decide whether to get intensif/infini or get a deep peel/laser resurfacing 😖💸💸💸
Acne Scarring no more ! Top before bottom after 😍 Update on our patients skin ❤️ call 99792561 for bookings or head to www.facebook.com/akalikoskinclinics #3treatments #rfmicroneedling #skintherapists  @akalikoskinclinics
1 664 October 2016
Acne scarring no more ! top before bottom after 😍 update on our patients skin ❤️ call 99792561 for bookings or head to www.facebook.com/akalikoskinclinics #3treatments #rfmicroneedling #skintherapists @akalikoskinclinics
ONE VISIT. These VIVACE results shared by @foxveinandlaserexperts shows the incredible reduction in the appearance of acne scarring in just one treatment. Vivace’s combines microneedling and radio frequency to deliver #realresults like these with #nodowntime. #transformationtuesday ✨
Cartessa Aesthetics is the Exclusive US Distributor for ABM, the innovators behind VIVACE.  DM us and we are happy to bring Vivace to you so you can see what it can do for your practice!
8 101 December 2018
One visit. these vivace results shared by @foxveinandlaserexperts shows the incredible reduction in the appearance of acne scarring in just one treatment. vivace’s combines microneedling and radio frequency to deliver #realresults like these with #nodowntime. #transformationtuesday
cartessa aesthetics is the exclusive us distributor for abm, the innovators behind vivace. dm us and we are happy to bring vivace to you so you can see what it can do for your practice!
This patient saw several procedural dermatologist before seeing me many years ago. He unsuccessfully had ablative as well as #fractionallaser treatments. I treated him over several months with 3 sessions of NOKOR #subcision & #dermalfillers 
TAKE HOME MESSAGE
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☝🏻Always treat the #acnescar type with a method. Scar types include boxcar scars, #icepickscars , #atrophicscars , rolling scars, & many other subtypes. Most patients with #acnescarring will have multiple scar types. It is very uncommon to have monomorphic scars

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🧐It is very hard for Specialist such as #dermatologists or #plasticsurgeons to correctly identify scar types UNLESS they have a sub-speciality interest in #scarrevision . Many other variables such as skin type need to be factored in

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✍🏻#microneedling and #fractionallasers will have a minimal impact on tethered, anchored, fibrotic, or attached scars compared to what subcsion can achieve. There are many methods of performing subcision; from the traditional needle method first described in 1995 to #rfmicroneedling , cannulas & everything in between

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📉A decade ago I would have performed #dermalgrafting with blade subcision. This procedure can be useful, but it can also form idiosyncratic scars when age related decline of fat, collagen & supporting matrix occurs 
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👨🏻‍⚕️My preferred method several years ago was #nokor or micro blade subcision with HA filler to treat atrophic scars. In this context filler itself last up to 18-24 months, however can act as a #collagen stimulator & buffer to stop bonds reforming. Today I use cannula subcision coupled with various different fillers (depending on scar type), however I also incorporate gentle lasers to stimulate epidermal #growthfactors to improve #dermalscars. This accelerates #beforeandafters results by at least a factor of 2-3

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📆The future looks bright as in 2019 I will incorporate #stemcell & #fibroblast transfer as well as matrix stimulating fillers, in addition to controlled epidermal cytokine release for acne scars in context

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🗣Scar revision is in constant evolution. Please read previous post before asking SENSIBLE questions- chilling on #sunday #drdavinlim #skin #acne #scar
102 645 December 2018
This patient saw several procedural dermatologist before seeing me many years ago. he unsuccessfully had ablative as well as #fractionallaser treatments. i treated him over several months with 3 sessions of nokor #subcision & #dermalfillers
take home message
__
☝🏻always treat the #acnescar type with a method. scar types include boxcar scars, #icepickscars , #atrophicscars , rolling scars, & many other subtypes. most patients with #acnescarring will have multiple scar types. it is very uncommon to have monomorphic scars

__
🧐it is very hard for specialist such as #dermatologists or #plasticsurgeons to correctly identify scar types unless they have a sub-speciality interest in #scarrevision . many other variables such as skin type need to be factored in

__
✍🏻#microneedling and #fractionallasers will have a minimal impact on tethered, anchored, fibrotic, or attached scars compared to what subcsion can achieve. there are many methods of performing subcision; from the traditional needle method first described in 1995 to #rfmicroneedling , cannulas & everything in between

__
📉a decade ago i would have performed #dermalgrafting with blade subcision. this procedure can be useful, but it can also form idiosyncratic scars when age related decline of fat, collagen & supporting matrix occurs
__
👨🏻‍⚕️my preferred method several years ago was #nokor or micro blade subcision with ha filler to treat atrophic scars. in this context filler itself last up to 18-24 months, however can act as a #collagen stimulator & buffer to stop bonds reforming. today i use cannula subcision coupled with various different fillers (depending on scar type), however i also incorporate gentle lasers to stimulate epidermal #growthfactors to improve #dermalscars. this accelerates #beforeandafters results by at least a factor of 2-3

__
📆the future looks bright as in 2019 i will incorporate #stemcell & #fibroblast transfer as well as matrix stimulating fillers, in addition to controlled epidermal cytokine release for acne scars in context

__
🗣scar revision is in constant evolution. please read previous post before asking sensible questions- chilling on #sunday #drdavinlim #skin #acne #scar