A year of work, a face that looks ten years younger
The patient in this video has been working with Dr. Emer for over a year. He came in with deep textural scars, volume loss in the cheeks, and the kind of skin irregularities that most physicians would consider difficult to treat on a darker skin tone.
Over multiple sessions, Dr. Emer combined fractional laser treatments with micro droplet silicone and Sculptra to rebuild volume, smooth texture, and restore collagen. The patient also followed a strict medical grade skincare regimen between visits. The result is a face that reads as younger, smoother, and more vibrant, with dramatically reduced scarring.
What the Reverb protocol actually does
Reverb is Dr. Emer's term for a multi-pass fractional laser treatment using the Erbium laser. The first pass goes deeper to address the scar itself, and the second pass is more superficial to blend and refine the surface. The laser creates fractional columns in the skin that peel over the next few days, revealing clearer skin within about five days.
Between these larger laser sessions, the patient received micro droplet silicone and Sculptra injections to rebuild lost volume and stimulate collagen production. The silicone fills in the depressed scars, and the Sculptra continues building structure over time. Medical grade skincare with fewer, highly concentrated ingredients maintained the progress and prevented hyperpigmentation.
Treating darker skin tones safely
Many people with darker skin tones are told they cannot have laser treatments, or they have been burned by providers who did not adjust the settings correctly. Dr. Emer has treated this patient multiple times over the past year without burns or lasting hyperpigmentation.
The patient did experience some temporary hyperpigmentation after the initial big session, which was expected and discussed in advance. He followed the skincare regimen, and the discoloration resolved. The Erbium laser, when used correctly, can be safely used on all skin tones to improve scars, texture, color and pores.
Why this is not a one-time fix
This patient has done multiple sessions over the past year: larger laser treatments, smaller sessions with micro needling, silicone and Sculptra injections, and consistent skincare and peels between visits. The transformation is the result of that commitment, not a single procedure.
Dr. Emer is clear about this: if you are looking for one treatment to fix deep scars, this is not the right approach. If you are willing to commit to a plan and maintain the work between sessions, the results can be dramatic. Candidacy and the full treatment plan are covered in consultation.