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Sciton: Joule & BBL > Any great results for acne/scars using Sciton?

I have been using Sciton Joule for over 3 years and have been happy with BBL for rosacea, age spots, MLP for brightening, ClearScan for spider veins but not particularly satisfied with acne results or scar treatments. My typical acne protocol has been SkinTyte to "shrink" glands, 420-for P.acnes and 560 for redness. Most patients get some purging the first month, some show slight improvement, many need repeated treatments and still struggle with breakouts. I combine medical and laser therapy but find I am often referring pts on to seek Accutane. (I tend to get moderate to severe cases) For scarring, most don't want to repeat PF/MLP to get best results and don't see much improvement with only one treatment. Thoughts? Your Protocols? Any Breakthrough results you would like to share?

01.26 | Registered CommenterRCofSP

Hi

1)Do you use ALA or Metvix in combinaton of MLP in Acne patients?The best result i have seen is doing the following : First SkinTyte to splach the glands,then a light MLP to remove the upper layer of epidermis,then put on the face ALA or Metvix (i am in Europe so i am using only Metvix) and then i am doing BBL (420).Very good results in 4-5 sessions.
2)How deep have you gone in Acne scars with Er YAG (SCITON)?

01.29 | Unregistered CommenterCharry

Hmmm...interesting Charry! I've never done any treatment over a MLP. Is it fairly tolerable for the pt? Do you do this protocol for all 4-5 sessions? How deep is your MLP?

I have done all sorts of combinations of PF/MLP for acne scars. I have even smoothed down the edges of many with the 3 mm spot Laser Resurf. I find any treatment with PF or peels greater than 15 mcs is pretty uncomfortable for pts and many are not interested in doing a series...especially when they didn't really see much results with the first one. It would be great to hit a home run with one treatment.

02.2 | Unregistered CommenterRCofSP

Yes it is tolerable for the pt.I am doing a very light MPL (6-8μm) in order to remove the upper layers of the epidermis.
As for the scars i have gone up to 150-200μm in pt with deep acne scars with very good results!!

02.4 | Unregistered Commentercharry

Charry,

for what time do you apply Metvix after MLP?

05.4 | Unregistered CommenterDocRock

Hard to comment without knowing what kind of scars you are trying to treat. Ice picks vs rolling vs hypertrophic all require different therapies. In general, going to the base of the scar with Profractional, evening out ridges with TLR, and using indicated topical prescriptions in addition to laser treatments has been a good combination of strategies for me. Also, acne-prone patients need an occlusive barrier cream that will not make them break out while they are healing.

For DEEP ice picks, surgical excision a few weeks before a resurfacing is the only thing that will yield adequate results.

DocRock

I am applying it for 1 hour.The MLP is a very superficial one (about 6-8μm).

05.5 | Unregistered Commentercharry

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