A year of work, a face that looks ten years younger
This patient came in with deep textural scars, volume loss in the cheeks, and the kind of skin irregularities that most physicians would call difficult to treat on a darker skin tone. He has been working with Dr. Emer for over a year.
Over multiple sessions, Dr. Emer combined fractional laser treatments with micro droplet silicone and Sculptra to rebuild volume, smooth texture, and restore collagen. A strict medical grade skincare regimen supported every step between visits. The face you see now 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. 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 the larger laser sessions, this patient received micro droplet silicone and Sculptra injections to rebuild lost volume and stimulate collagen production. The silicone fills in depressed scars. The Sculptra continues building structure over time. Medical grade skincare, kept to fewer and highly concentrated ingredients, maintained the progress and prevented hyperpigmentation.
Treating darker skin tones safely
You may have been told you cannot have laser treatments on darker skin. Or a provider used the wrong settings and left you with a burn. Dr. Emer has treated this patient multiple times over the past year without burns or lasting hyperpigmentation.
After the initial big session, the patient did experience some temporary hyperpigmentation. That was expected, and it was discussed in advance. He followed the skincare regimen, and the discoloration resolved. The Erbium laser, used with the correct settings, can be safely applied to all skin tones to improve scars, texture, color, and pores.
Why this is not a one-time fix
This patient committed to 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.