My Scars, My Story

Mrs JR

I’ve lived with acne scarring for the past 20 years, but I’m still conscious of this everyday of my life. Scars are very noticeable, depending on lighting conditions.

Treating Dermatologist:
Dr Davin Lim, Dermatologist:
Assessment and Treatment:
This represents moderate to severe scarring. I felt that a combination treatment of resurfacing combined with Fractional treatment would be the treatment of choice. The trade-off is that fewer treatments are needed.

Treatment: Microlaser peel plus Fractional laser - one treatment. 8 day recovery.
Excellent improvement with only one session.

Before

Acne scars- deep scarring mixed with box car scars.

After

2 months after Micropeel combined with Fractional laser.  Dr Davin S. Lim

Mr ER, age 35

I had scarring for many years, and I had treatments at a cosmetic place before. They used the latest and greatest Fraxel laser, but the results were pretty dismal. In fact my skin darkened for a few months after this! After recommendation from a family friend, I decided to see a specialist.

Treating Dermatologist:
Dr Davin Lim
Assessment and Treatment:
This patient has significant deep acne scarring. Fractional lasers such as Fraxel will not improve this type of scarring due to the depth of these ice pick scars- in fact for darker skin types, Fraxel will induce post treatment darkening! Treatment was with punch excision and elevation and two sessions of TCA cross chemical peels.



Outcome: Good improvement. Fractionated lasers can NOW be used to improve the shallow scars. The laser to use is Erbium for darker skin types. Expert scar revision specialists will combine methods to give patients optimal results.

Before

Deep ice pick scars respond poorly to Fraxel/ Fractional lasers. TCA cross is the treatment of choice for deep scars like this.
Ice pick, box car, and linear scars prior to treatment

After

After 2 sessions of punch excision, TCA cross, subscision treatments Dr Davin S. Lim

Mr GT, age 40

I had bad acne when I was younger. As a result I thought I had scarring for life! I didn’t think much could be done, until I heard about laser scar treatments. I had recommendations to see Dr Lim.

Treating Dermatologist:
Dr Davin Lim
Assessment and Treatment:
This represents moderate scars in an Asian gentleman with sun damage and age spots. I treated him with Fractional laser and subscision. In fact, he only had ONE treatment. The results are much better than expected. Part of this is due to the removal of age spots and sunspots, which really cleans up the palette of the skin. This in turn makes scars much less visible.

Before

Significant acne scarring prior to treatment.

After

Immediately following one light pass of Fractional Laser. Fractionation, treats a specified percentage of skin. Treatments can be non- aggressive with quick recovery times.
3 days after laser. Complete healing is seen at day 6. Swelling has decreased. Best results are seen 2-3 months after treatment- the time it takes for new collagen to reform. 2-4 treatments are recommended.  Dr Davin Lim

Mr FH, age 21

The picture speaks for itself. I was ready for a tremendous amount of scarring.

Treating Dermatologist:
Dr Davin Lim, Dermatologist.
Assessment and Treatment:

This is cystic acne, and the risk of severe and permanent scarring was a reality. This gentleman was treated with low dose Roaccutane combined with anti-inflammatories. At the end of treatment, the scars though present were very mild.


Certainly laser scar revision maybe possible, however not necessary given the findings.


This case illustrates that early and effective treatment of scarring acne can markedly reduce or even prevent scarring.

Before

After