Jason Emer, MD, FAAD, FACS
Acne Scar Reversal On Darker Skin: The Reverb Protocol With Laser, Silicone And Sculptra
How Dr. Jason Emer treats deep acne scars and volume loss on darker skin tones using fractional laser passes, micro droplet silicone, Sculptra and medical grade skincare over multiple sessions.
Dr. Jason Emer MD · FAAD · FACS
The practice's own photographs
Patients of the practice, from Dr. Emer's published before and after gallery. Each case is one patient. Individual results vary.
Over a year of multi-pass fractional Erbium laser, micro droplet silicone, Sculptra, and medical grade skincare, his deeply scarred face transformed: volume restored, texture smoothed, a decade younger on darker skin without lasting hyperpigmentation.
Your plan starts with Dr. Emer.
Schedule ConsultationReserve online. West Hollywood and New York.
From the filmed session
What Dr. Emer did · RE:SKN
First pass deeper into the dermis to remodel scar architecture, second pass more superficial to blend texture and refine the surface. Fractional columns create controlled injury zones that stimulate collagen production and allow safe treatment on darker skin tones when settings are adjusted correctly.
“This laser can be used on all skin tones. Um, and it if used right, it can improve scars, texture, color, pores.”
Dr. Emer, in the film
Medical grade silicone placed in micro droplets into depressed scars to fill volume loss and provide a scaffold for collagen deposition over time.
“And now you see with the silicone, with the sculpture, we really remodeled his whole face.”
Dr. Emer, in the film
Regenerative biostimulator injected like a sculpture to rebuild lost facial volume and stimulate collagen production in areas of atrophy and textural irregularity.
“We did regenerative treatments injected like a sculpture and our silicone to help build collagen.”
Dr. Emer, in the film
Highly concentrated, fewer ingredient formulations used consistently between sessions to prevent and treat hyperpigmentation, maintain collagen production, and optimize healing on darker skin tones.
Smaller maintenance sessions performed between larger laser treatments to sustain collagen remodeling and textural improvement.
“In between these bigger sessions with him and I, we've done a couple smaller things like the brilliant micro needling.”
Dr. Emer, in the film
Medical grade peels performed between major sessions to maintain progress, control pigmentation, and prepare skin for subsequent treatments.
“he's done his skin care and peels”
Dr. Emer, in the film
Why patients fly in
Dr. Emer adjusts depth and energy on the fractional Erbium laser to treat all skin tones safely. Most burns happen because providers use incorrect settings. He has treated darker skin tones for two decades without lasting hyperpigmentation or injury.
“This laser can be used on all skin tones. Um, and it if used right, it can improve scars, texture, color, pores.”
The first pass goes deeper into the dermis to address the scar architecture itself. The second pass is more superficial to blend and refine the surface, creating a smooth transition most providers never achieve.
“We went much deeper before. Now we're going a little more superficial.”
Silicone and Sculptra are injected like a sculpture to fill depressed scars and stimulate collagen production. The laser does not do all the work; the injectables rebuild the foundation so the skin has structure to heal into.
“We did regenerative treatments injected like a sculpture and our silicone to help build collagen. This was a thorough complex combination.”
Highly concentrated formulations with fewer ingredients are used between sessions to control pigmentation, maintain collagen production, and optimize healing. This is not glazing for one event; this is transformation over time.
Larger laser treatments are spaced months apart, with smaller sessions, peels, and consistent skincare in between. Dr. Emer designs the full plan and expects commitment to it.
“don't think that this one treatment is going to be the be all and end all of your scars. You got to maintain, you know, you got to do many treatments.”
THE THINKING BEHIND THE TREATMENT
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗Over a year of treatments, his face changed from deeply scarred to smooth, lifted, and ten years younger.
He came in with deep textural scars, volume loss in the cheeks, and skin irregularities that had been difficult to treat elsewhere. Over the past year, he committed to multiple sessions with Dr. Emer: larger laser treatments using the Reverb protocol, smaller sessions with micro needling, micro droplet silicone and Sculptra injections to rebuild volume, and consistent medical grade skincare and peels between visits.
Fractional laser, regenerative injectables, and medical grade skincare over multiple sessions.
“We did regenerative treatments injected like a sculpture and our silicone to help build collagen. This was a thorough complex combination.”DR. JASON EMER · FROM THE VIDEO
He 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 video shows his final large laser session of the year: a multi-pass fractional Erbium treatment to blend and refine the surface. Within five days, his skin will be clear and smooth. People tell him he looks ten years younger.
“And now you see with the silicone, with the sculpture, we really remodeled his whole face. His the skin care is giving him a glow has prevented and treated hyperpigmentation.”DR. JASON EMER · FROM THE VIDEO
“These will peel over the next few days. And within probably 5 days, he'll have nice clarity.”DR. JASON EMER · FROM THE VIDEO
Deep scars, volume loss, darker skin tones / Patient story
Over a year of treatments, his face changed from deeply scarred to smooth, lifted, and ten years younger.
He came in with deep textural scars, volume loss in the cheeks, and skin irregularities that had been difficult to treat elsewhere. Over the past year, he committed to multiple sessions with Dr. Emer: larger laser treatments using the Reverb protocol, smaller sessions with micro needling, micro droplet silicone and Sculptra injections to rebuild volume, and consistent medical grade skincare and peels between visits.
He 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 video shows his final large laser session of the year: a multi-pass fractional Erbium treatment to blend and refine the surface. Within five days, his skin will be clear and smooth. People tell him he 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.
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.
How the Reverb protocol is built
Fractional laser, regenerative injectables, and medical grade skincare over multiple sessions.
The Erbium laser creates fractional columns in the skin. The first pass goes deeper to address the scar, the second pass is more superficial to blend and refine.
Silicone fills in depressed scars, and Sculptra stimulates collagen production over time to rebuild lost volume.
Fewer, highly concentrated ingredients maintain progress between sessions and prevent hyperpigmentation.
Larger laser treatments are spaced months apart, with smaller sessions and consistent skincare in between.
The treatment, explained
Also called fractional laser resurfacing, Erbium laser, silicone injections for scars, Sculptra for acne scars, acne scar treatment for darker skin, laser treatment for dark skin tones, Reverb protocol, scar revision, textural resurfacing.
Signature procedures
Peptides / biologic optimization
Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX™ peptides are available to purchase through the practice after consultation.
Why Dr. Emer
It is a reason to find a physician who knows how to adjust the settings and build the plan.
Dr. Emer has treated patients with darker skin tones for two decades, using fractional laser, regenerative injectables, and medical grade skincare to address deep acne scars, volume loss, and textural irregularities without burns or lasting hyperpigmentation.
Many of his patients come to him after being told they cannot have laser treatments, or after being injured by providers who did not adjust the laser settings correctly. His Reverb protocol is designed to be safe and effective on all skin tones when performed with the right equipment, the right depth, and the right plan.
The Erbium laser can be used on all skin tones when the depth and energy are adjusted correctly. Most burns happen because the settings were wrong.
Silicone and Sculptra rebuild volume and stimulate collagen without relying on the laser alone to do all the work.
Highly concentrated, fewer ingredients that prevent and treat hyperpigmentation between sessions.
Asked plainly, answered plainly
Yes, when the laser type and settings are adjusted correctly. Dr. Emer has treated patients with darker skin tones for two decades using fractional Erbium laser without burns or lasting hyperpigmentation. Most injuries happen because providers use incorrect settings or the wrong laser. The Reverb protocol is designed to be safe and effective on all skin tones.
Temporary hyperpigmentation can occur, especially after the first large session, and is discussed in advance. The patient in this case experienced some hyperpigmentation after the initial treatment, which was expected. He followed the medical grade skincare regimen, and the discoloration resolved. With the correct plan and skincare, hyperpigmentation is manageable and temporary.
Most patients need multiple sessions over several months to a year. The patient in this video completed larger laser treatments spaced months apart, smaller sessions with micro needling, silicone and Sculptra injections, and consistent skincare and peels between visits. The number of sessions depends on scar depth, skin tone, and goals, and is determined at consultation.
The fractional columns peel over the next few days, and most patients have clear skin within about five days. The patient in this video was given a couple of weeks before an event to ensure full healing. Downtime varies based on the depth and number of passes performed.
The Reverb protocol combines multi-pass fractional laser with regenerative injectables and medical grade skincare over multiple sessions. The first laser pass goes deeper to remodel scar tissue, the second pass blends the surface. Silicone and Sculptra rebuild volume and stimulate collagen production, so the laser does not do all the work. This approach is designed to be safe and effective on all skin tones when performed with the correct settings and plan.
No. This is multiple sessions, consistent skincare, and a commitment to the full plan. One treatment will not fix deep acne scars. The patient in this video committed to a year of treatments and saw dramatic transformation. Dr. Emer designs the full plan at consultation and expects patients to follow it.
Medical grade skincare with highly concentrated, fewer ingredients that prevent and treat hyperpigmentation, maintain collagen production, and optimize healing. Dr. Emer provides the regimen at consultation. Consistent use between sessions is required to achieve and maintain results.
Yes. Medical grade silicone is placed in micro droplets into depressed scars to fill volume loss and provide a scaffold for collagen deposition over time. Dr. Emer uses silicone as part of the Reverb protocol to rebuild the foundation of the skin so it has structure to heal into after laser treatment.
A consultation with Dr. Emer covers your skin tone, your scars, and whether the Reverb protocol fits your goals.
Schedule ConsultationWest Hollywood and New York City