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.
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.
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.
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
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
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.
Fractional non-ablative lasers, such as
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 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 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 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 is the chemical reconstruction of skin scars (CROSS) using trichloroacetic acid (TCA).
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.
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.
Fat injections, synthetic matrix cells such as Renuva, cells and growth factors 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:
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