LAM FACIAL PLASTICS

Dr. Lam,

Thank you so much for having this forum available. I am a 48 yr old woman and my acne is not completely controlled and I have been fighting my skin since I was 18. I am being treated, however my question is, can I start treatment anyway? My Derm is advising that first I have good control then laser tx, after reading all I have on your site and through these posts I get the feeling that going laser may not be a good solution, and if I am going to have the expense and do detriment I would much rather have the expense and do the best thing. While I know there is never 100%.. and maybe not even 50%, I am hopeful for some improvement. Based on the photographs attached could you give me some feedback please.
I have every kind of scar you have described, from icepick to rolling scars.. even on my nose, close to my lips and by my eyes.
Thank you sir.

hi,
personally, i would not do laser as it probably will not work. you are not a good candidate for silicone either (at least based on the photos). CROSS looks like it would work very well for you but it would require a few rounds to do it. i would probably spread the sessions out every 3 months and i am guessing (only a guess) that you would need about 3 to 4 rounds to make the difference. i think you could start treatment now even if you still are having some acne flare ups. if you don't go to me for CROSS please find someone with a lot of experience. it is something that you can easily mess up and make scars look worse.
best,
sml

Dr. Lam,

Thank you, I wouldnt go anywhere else as I dont believe there is anyone with as much experience as you have.. and I cant afford to make it WORSE.

I do have one follow-up question however. You spoke a couple of times in 2007 about plasma tx. Given enough time for the "best outcome" of CROSS, perhaps a year (not sure when one sees the most results they could), would follow up with plasma afford any more benefit?

Regards,

no, plasma will do nothing for acne scarring. i only really use it for skin rejuvenation. if i said in 2007 that it would help acne scarring, then that was old thinking and incorrect.
best,
sml