LAM FACIAL PLASTICS

Dr. Lam,

This is not my first post and you have replied to all my previous queries. You have no idea how thankful we are to you for taking out your time just to reply to our queries and that too with the best of intentions even though sometimes the answer is not what people like me with severe acne scars are hoping to hear.

I understand the techniques you use to treat acne scars and your philosophy behind them. Unfortunately i am not in the US and will not be able to travel there in the near future. I am although going to the UK for a personal trip and have contacted a few surgeons who use ReCell ( http://www.avitamedical.com/index.php?ob=1&id=15 ) with an invasive procedure like fraxel repair or dermabrasion to improve scarring. I am really impressed with ReCell when its combined with an ablative treatment.

Both fraxel repair and Dermabrasion side effects and effectiveness have been documented, although ReCell is suppose to minimize the side effects caused by them and improve the results.

Coming to my question, in terms of effectiveness ( i know you prefer other tecniques), what do you think is gonna help me most in my case (pictures attached), Dermabrasion or Fraxel Repair. I am particularly afraid of dermabrasion because of well documented side effects on patients with darker skin.

Regards,
Maash

as you know for me fillers with silicone and CROSS TCA are the way to go. i do not personally do Fraxel repair as I have heard from established colleagues of mine that it is not that effective for acne scarring. it is great for skin rejuvenation. i feel the same way about dermabrasion but again remember i am biased based on personal experience and conversation with colleagues. if you find someone you trust with significant experience with satisfied patients and you trust him, then probably go for it. with your skin type, dermabrasion is probably much riskier and i would probably caution you against that at least in terms of simply risk.
best,
s.