Acne Scar

Treatments

No other cosmetic dermatologist approaches acne scar treatments with the same pioneering mindset and individualized approach as Dr. Jason Emer.

After thousands of successful procedure combinations, he’s discovered that the most effective way to improve acne scars is through an individualized blend of cutting-edge treatments designed to maximize results and minimize downtime. He’s also world-renowned for his expertise in treating all skin types and ethnicities.

How does Dr. Emer
treat acne scars?

First Visit

WHAT TO EXPECT

ON YOUR FIRST VISIT

Dr. Emer’s world-renowned expertise in aesthetics extends beyond his treatment rooms. You are welcomed in style to his state-of-the-art and stylish office by staff who understand your needs. Your face is assessed and photographed with skilled yet gentle hands to ensure the results you seek.

The photographing only takes a few minutes and is quite comfortable from start to finish. In addition to standard pictures, Visia and Vectra images are taken to understand/become acquainted with every inch of your skin.

Using these advanced tools, Dr. Emer recommends procedures and explains the results you will be able to achieve. Patients are asked in advance to bring in photos they have taken at home with selfie lights to make sure their feeds are spectacular. Dr. Emer’s dedicated staff tracks progress. Results are seen/visualized in the studio, in daylight and with overhead lights. These varying types of images give your skin the best representation possible, documenting shadows and lights to determine the extent and severity of acne scarring.

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Results

Real Results

Dr. Emer’s acne scar treatments typically begin by pre-treating the skin with the Enlighten or Cosmelan peel to reduce the risk of hyperpigmentation from lasers, followed by punch excision/subcision for extreme cases of scarring. If tissue was lost due to scarring, he’ll use Bellafill injections to increase volume, followed by laser treatments, and then finish by microneedling with platelet-rich plasma (PRP) and growth factors to increase collagen production and promote healing.

Scar Type

Facial Redness

Facial Redness

To treat facial redness as a result of acne and acne scarring, Dr. Emer uses a combination of Intense Pulsed Light (IPL) therapy and vascular laser treatments, including Yellow laser, VBeam/pulsed dye laser, Excel V, and Aerolase.
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Keloid Scars

Keloid Scars

Also known as “Hypertrophic Scars,” Keloids are typically thick, raised, and dark red or purple in color and are often treated with topical therapies and scar gels, vascular lasers, IPL, LED light therapy, steroid injections, fractional lasers, fractional radiofrequency treatments, and microneedling with PRP.
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Atrophic Scars

Atrophic Scars

Comprised of sharp-edged “Boxcar Scars” or rounded “Rolling Scars,” these sunken, pitted depressions in the skin are more visible in side or overhead light and cause shadows in the divots in your skin. Dr. Emer’s approach is a customized combination of microneedling, ablative or non-ablative laser resurfacing, microneedling with PRP, microneedling RF, subcision, dermal fillers, fat injections, collagen stimulators, liquid silicone injections, and chemical peels.
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Ice Pick Scars

Ice Pick Scars

Also known as “Pox Scars,” these deep, narrow, very noticeable pits in the skin’s surface do not respond well to laser treatments or chemical peels alone. To combat stubborn Ice Pick scars, Dr. Emer uses TCA CROSS or punch excision as well as a combination of microneedling RF, radiofrequency skin remodeling, peels, and injectable fillers.
Skin Gallery >

Types of scars

icepick scars

ICE PICKS

TREATMENT:

  • TCA CROSS
  • Punch Excision
  • Microneedling RF
boxed scars

BOXCAR

TREATMENT:

  • Microneedling
  • Ablative or non-ablative laser resurfacing,
  • Microneedling RF
  • Subcision
  • Dermal Fillers
  • Fat injections
  • Collagen Stimulators
  • Liquid Silicone Injections
rolling scars

ROLLING

TREATMENT:

  • Microneedling
  • Ablative or non-ablative laser resurfacing
  • Microneedling RF
  • Dermal Fillers
  • Fat njections
  • Colagen Stimulators
  • Liquid Silicone Injecitons
  • Chemical Peels
  • Subcision
hypertrophic

HYPERTROPHIC

TREATMENT:

  • Intense Pulsed Light (IPL)
  • Forever Clear BBL
  • Yellow Laser
  • Pulsed Dye Laser or Vbeam
  • Excel V
  • Aerolase

KELOIDS

TREATMENT:

  • Microneedling
  • Ablative or non-ablative Laser Resurfacing
  • Steroid/5-FU Injections

Ready to start your personalized treatment plan?

Scar Treatment

Laser Treatments

for Acne Scars

Prior to fractional skin resurfacing or ablative laser treatments, Dr. Emer will pretreat the skin with a Cosmelan Peel or Enlighten Peel to prepare the skin cells and allow for deeper penetration of the laser treatment. When used before and after the laser procedures, Cosmelan and Enlighten can also decrease the risk of post-inflammatory hyperpigmentation for patients with darker skin types.

LASER RE-SURFACING vs DERMAPEN THERAPY

THE LASER EVAPORATES THE EPIDERMIS

THE PENETRATION CHANNELS ARE CLOSED WITHIN MINUTES AND HOURS

RISKS: BURNS, LONG HEALING PROCESS, LONG LIGHT SENSITIVITY, PIGMENT PROBLEMS, POSSIBLE SCARRING

THE INDUCED COLLAGEN FORMS A NEW CONFLUENT LAYER. FAST HEALING AND MINIMAL RISKS.

DURATION FOR HEALING AND FORMATION OF A NEW COLLAGEN LAYER. ABOUT 6 MONTHS

DURATION FOR HEALING AND FORMATION OF A NEW COLLAGEN LAYER. MAXIMUM 2 MONTHS

Dr. Emer Uses Has More than

30 ablative and Non-Ablative

Lasers

Fractional ablative lasers, such as CO2 and Erbium, are stronger lasers that vaporize the skin’s surface, remodel the skin, and help to improve scarring, discoloration, sun damage, and fine lines and wrinkles in just a single treatment. These lasers use short-pulsed light energy to remove thin layers of skin, promote cellular turnover and collagen production in the treated area, and replace the ablated skin for new, healthier skin cells.

Colten's Story

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Angel's Story

Fractional non-ablative lasers, such as

Fraxel, Clear & Brilliant, and HALO

Fractional non-ablative lasers, such as Fraxel, Clear & Brilliant, and HALO, provide lighter skin resurfacing to treat textural issues and superficial scarring. When used at a low-density, these lasers have a minimal risk of hyperpigmentation and can be used on patients with darker skin types.

Vascular Lasers, including the Yellow Laser, Laser Genesis, Excel V, Aerolase, and VBeam (pulsed-dye laser), are designed to target unwanted or abnormal blood vessels, which is why Dr. Emer frequently uses them to treat facial redness and hypertrophic acne scars (or keloids). Vascular lasers send high-pulsed energy deep into the scar to shrink the thickened collagen and decrease discoloration. In addition to acne, these lasers can help improve discoloration and pigmentation, rosacea, veins, and stretch marks.

Microneedling

Microneedling for Acne Scars

Microneedling is big news among celebrities in Hollywood, where perfect skin is a must-have. To treat acne scars, the designated treatment area is penetrated with a microneedling device to trigger pinpoint bleeding and stimulate new collagen production. This highly effective treatment can be done frequently, with minimal pain and downtime, and is a core part of the monthly skin protocols that Dr. Emer designs for his patients. He also encourages weekly at-home dermaroller treatments to maintain collagen production and encourage cellular turnover between laser sessions.

Microneedling+ Co2

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Microneedling RF

Microneedling RF uses the same technique but with the added power of radiofrequency energy. Delivering RF energy into the skin increases collagen production and promotes healing, and the energy level can be adjusted according to the severity of the scars. Dr. Emer uses a multitude of microneedling RF devices to customize your specific scarring treatments, including:

InMode Fractora, a non-invasive fractional skin remodeling and microneedling device that harnesses the power of RF to treat scarring and irregularities. The RF energy goes deep into the subdermal layers to stimulate collagen production and thickening of subdermal tissue, resulting in tightened skin, improved complexion, and a reduction in pore size.

InMode Morpheus8, a deeper and more powerful microneedling RF device that can deliver radiofrequency energy 5mm beneath the skin’s surface with little to no thermal damage to the skin’s surface.

EndyMed Intensif, a rejuvenating and anti-microbial microneedling RF device that allows Dr. Emer to tailor the depth of the needles (from 0.5mm to 5mm). At a superficial depth, Intensif can improve crepey skin, fine lines, and wrinkles, while a deeper setting can address acne scars, skin laxity, and stretch marks.

Microneedling RF is also safe and effective for individuals with darker and more sensitive skin because there is no heat applied to the skin’s surface.

Microneedling RF

Microneedling RF is also safe and effective for individuals with darker and more sensitive skin because there is no heat applied to the skin’s surface.

TCA Cross

TCA CROSS
for Ice Pick Scars

TCA CROSS is the chemical reconstruction of skin scars (CROSS) using trichloroacetic acid (TCA).

TCA CROSS

A unique procedure

This unique procedure is ideal for ice pick scars and is performed by very few professionals, as it requires extreme precision from an experienced expert. In it, Dr. Emer delivers a concentrated chemical solution right to the base of the ice pick scar. The treated area immediately turns white as the skin reacts to the TCA, prompting the production of new collagen. In the days following, the treated area will scab and slowly start to resurface, with significant improvement possible in 3-6 treatments.

TCA CROSS can be combined with other treatments such as lasers, peels, and microneedling to get more improvement quickly.

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TCA Cross+ Co2

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Dermal Filler

Dermal Fillers
FOR ACNE SCARS​

Dermal fillers such as silicone, Bellafill, Belotero Balance, Juvederm Ultra, Juvederm Ultra Plus, Restylane, Restylane Silk, Restylane Lyft, Voluma, Renuva and Sculptra can be used to raise acne scars and give them a smoother appearance. Other filler options include natural body fat, and Volbella. This treatment, though, is typically used in combination with lasers, microneedling and sometimes TCA CROSS for optimal results. Dr. Emer will make specific product recommendations during the consultation phase based on your unique needs and skin type.

Dermal Fillers

Acne scarring comes in a variety of types. For example, there can be rolling, tethered and boxcar scarring. The imaging mentioned in the earlier section allows Dr. Emer to tailor scarring treatments. Subcisions with dermal fillers break the bonds that weigh the skin down. Filler is used to stimulate collagen. This combination works best for tethered and atrophic scars.

Fight Acne Scars

with Long-Term Injectables

Fat injections, synthetic matrix cells such as Renuva, stem cells and growth factors like PRP can all be used to increase volume and collagen production under acne scars, immediately lifting the scar and providing long-term structure that can improve the scar’s appearance. Here’s how it works:

  • Dr. Emer injects Renuva, which is a purified synthetic matrix of fat cells that integrates into your tissue like it was your own. Over time, this permanently fills space under the scar and smoothes out its appearance.
  • He may also fill with Sculptra or Bellafill. The products Dr. Emer selects will depend entirely on your scarring, skin type and other unique factors.
  • Finally, stem cells and PRP are injected into living tissue to help build and remodel damaged areas, for natural improvements over time.
Dr Jason Emer Los Angeles Best Dermatologist

Subcision

for Acne Scars

Acne scars are formed when the top layer of skin is being pulled down, which creates a divot and a shadow. With subcision, Dr. Emer inserts a blunt cannula under the surface of the scar to release the top layer of the skin, which breaks up the scar and allows him to then use lasers, microneedling and fillers to minimize the depth of the divot

Watch Subcision Treatment

Punch Excision
for Acne Scars

Some scars or so deep or broad they need a more aggressive removal that is surgical. A circular indentation is replaced with a linear scar that is larger than the original indentation, but easier to treat with lasers, peels, microneedling, and skincare.

Punch Excision+ Co2

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During punch excision, the acne scar is surgically “punched” out of the skin with a blade fits just around the scar itself and the wound it leaves behind is immediately sealed to begin healing. Punch excision is especially good for deep boxcar and ice pick scars with clear, sharp edges. In a variation on this technique called punch elevation, the scar’s core is elevated to the level of the surrounding tissue and then reattached, making it less noticeable.

Dr. Emer’s aestheticians are the best in the world and have years of experience in customizing  skin care protocols and at-home treatment plans to compliment the office laser, microneedling and peel. Our proprietary, in-house facials and chemical peels have been developed to work simultaneously with our combination treatment plans to prepare the skin for lasers and more aggressive treatments, as well as maintain improvements.

Medical Grade

Skin Care

After each treatment, our aestheticians will recommend a tailored product regimen of medical grade skincare products that will continue to improve the quality of your skin including pore reduction, smoothing and tightening, fine wrinkles, and skin lightening. Our skincare offerings are all medical-grade products doctor dispensed only and essential to prepare your skin for treatments as well as maintain the results. All recommendations are personalized to your specific treatment plan, goals and lifestyle.