Jason Emer, MD, FAAD, FACS
Rebirth Acne Scar Treatment: Fully Ablative Erbium Plus Micro Droplet Silicone For Deep Scarring
How Dr. Jason Emer combines fully ablative erbium laser, deep fractional passes, and micro droplet silicone to rebuild skin from acne scarring in stages.
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.
Dr. Emer's RE:BIRTH protocol combines deep fractional erbium, fully ablative erbium resurfacing, micro droplet silicone, and Reneuva fat grafting in staged sessions to rebuild scarred skin from the foundation up, performed awake in West Hollywood and New York.
Your plan starts with Dr. Emer.
Schedule ConsultationReserve online. West Hollywood and New York.
From the filmed session
What Dr. Emer did · RE:SKN
Dual-wavelength hybrid fractional laser addressing pigmentation, pore size, and surface irregularities without removing the epidermis, first stage to prepare skin for deeper intervention.
“The halo laser that was done right before this actually is a great laser for African-Americans with pores, with scars, with color and Hispanic skin types or Asian skin.”
Dr. Emer, in the film
Permanent silicone filler injected in micro droplets to fill depressed atrophic scars and restore lost volume in areas of scarring.
“She was crying of tears of joy because of how much improvement she saw when we started doing our silicone micro droplet.”
Dr. Emer, in the film
Allograft adipose matrix injected to build synthetic fat in areas of volume loss caused by scarring.
Erbium Pro Fractional mode drilling thousands of microscopic channels deep into dermis to stimulate collagen without excessive thermal injury, cool laser that leaves channels open and bleeding.
Erbium contour mode removing the entire epidermal layer in areas of deepest scarring, blended across face for uniform texture, forcing complete resurfacing and new skin growth.
“This literally removes everything in the top of her skin. Everything before was deep, deep, deep. This is the spackle. This is the paint brush. This is blending. This allows entire new skin to grow.”
Dr. Emer, in the film
Why patients fly in
Erbium is a cool laser that drills channels without coagulating tissue, allowing multiple levels of treatment simultaneously with less thermal damage than CO2, which is a hot laser that stops bleeding but limits depth and coverage due to heat buildup.
Halo for pigment and pore size, micro droplet silicone for depressed scars, Reneuva for volume loss, then deep fractional and fully ablative erbium for texture and collagen remodeling, each stage planned as part of one outcome.
Deep fractional passes extended across the entire face, not just scarred areas, and fully ablative treatment blended at the edges so no area looks different in texture or tone after healing.
Most patients complete the RE:BIRTH protocol awake, allowing Dr. Emer to work at maximum depth and coverage without sedation risk, though sedation is available based on tolerance and treatment area.
“I couldn't do this awake. Not at this level, but she's doing it.”
Patients placed on antibiotics and antiviral medication to prevent infection and breakout while skin is fully ablated, with Reskin Stabilis protocol applied two to three times daily: anti-inflammatory botanicals, peptides, and stem cells to stabilize healing.
THE THINKING BEHIND THE TREATMENT
Follow Dr. Emer’s approach through the stages described in this case.
Back to the video ↗The final stage of a multi-layer plan she had been waiting for.
This patient had already completed Halo laser, micro droplet silicone injections, and Reneuva fat grafting before this session. Each treatment addressed a different layer of her scarring: pigment, volume, and texture. This visit was the final piece: fully ablative erbium laser combined with deep fractional passes to remove the top layer of skin and drill thousands of collagen-stimulating channels beneath it.
“She was crying of tears of joy because of how much improvement she saw when we started doing our silicone micro droplet. Now we're on the final part.”DR. JASON EMER · FROM THE VIDEO
Each stage addresses a different component of scarring: pigment, volume, texture, and collagen.
“We're doing our professional. You can see how deep because look at all the blood spots.”DR. JASON EMER · FROM THE VIDEO
She was awake for the entire procedure. Dr. Emer started with deep fractional erbium, creating thousands of bleeding pinpoint dots across the treatment area. He then switched to fully ablative contour mode, removing the entire surface layer in the areas of deepest scarring and blending the edges so the transition is invisible. The session ended with air cooling and immediate wound care.
“This literally removes everything. in the top of her skin. Everything before was deep, deep, deep. This is the spackle. This is the paint brush. This is blending. This allows entire new skin to grow.”DR. JASON EMER · FROM THE VIDEO
Healing takes five to seven days for the skin to peel, followed by another five to seven days of redness. She was placed on antibiotics and antiviral medication to prevent infection while the skin is open, and she will apply skincare two to three times daily using Dr. Emer's Reskin Stabilis regimen.
Healing from fully ablative erbium takes five to seven days for the skin to peel, followed by another five to seven days of redness. The patient is placed on antibiotics and antiviral medication to prevent infection and breakout while the skin is open. Skincare is applied two to three times daily using Dr. Emer's Reskin Stabilis regimen: anti-inflammatory botanicals, peptides, and stem cells designed to stabilize healing.
The microscopic debris that forms after treatment are micro scabs that peel off to reveal new skin. Patients can return to normal activity, including exercise, once the skin has fully peeled, typically within five to seven days. Sleeping with the head elevated helps reduce swelling during the first few nights.
Fully ablative erbium plus micro droplet silicone / Patient story
The final stage of a multi-layer plan she had been waiting for.
This patient had already completed Halo laser, micro droplet silicone injections, and Reneuva fat grafting before this session. Each treatment addressed a different layer of her scarring: pigment, volume, and texture. This visit was the final piece: fully ablative erbium laser combined with deep fractional passes to remove the top layer of skin and drill thousands of collagen-stimulating channels beneath it.
She was awake for the entire procedure. Dr. Emer started with deep fractional erbium, creating thousands of bleeding pinpoint dots across the treatment area. He then switched to fully ablative contour mode, removing the entire surface layer in the areas of deepest scarring and blending the edges so the transition is invisible. The session ended with air cooling and immediate wound care.
Healing takes five to seven days for the skin to peel, followed by another five to seven days of redness. She was placed on antibiotics and antiviral medication to prevent infection while the skin is open, and she will apply skincare two to three times daily using Dr. Emer's Reskin Stabilis regimen.
The patient in this video flew to Dr. Emer from Kentucky for a multi-stage treatment plan she had been waiting for. She had already completed Halo laser, micro droplet silicone injections to fill volume loss from scarring, and Reneuva to build synthetic fat in depressed areas. This session was the final layer: fully ablative erbium laser combined with deep fractional passes.
This is not a treatment most practices offer at this depth. Dr. Emer uses two erbium modalities in one session: deep fractional to drill thousands of holes without excessive heat, and fully ablative contour mode to remove the entire top layer of skin in the areas of heaviest scarring. The combination allows aggressive remodeling with controlled healing.
CO2 laser is a hot laser that coagulates tissue and stops bleeding as it works. Erbium is a cool laser that drills holes and leaves them open. That difference matters when treating multiple levels in one session: less heat means Dr. Emer can go deeper and wider without the prolonged redness, pigmentation risk, and extended downtime that come with excessive thermal injury.
The deep fractional erbium creates thousands of microscopic channels that stimulate collagen without removing the surface. The fully ablative erbium removes the entire top layer of skin in targeted areas, forcing complete resurfacing. Both were used in this session, layered and blended across the face so no area looks different from another.
How the protocol is built
Each stage addresses a different component of scarring: pigment, volume, texture, and collagen.
Dual-wavelength laser to address pigmentation, pore size, and surface irregularities without removing the top layer of skin.
Silicone micro droplets fill depressed scars, and Reneuva builds synthetic fat in areas of volume loss.
Thousands of microscopic channels drilled into the skin to stimulate collagen without excessive heat or surface removal.
The entire top layer of skin is removed in targeted areas, forcing complete resurfacing and new skin growth.
The treatment, explained
Also called fully ablative erbium laser, deep fractional erbium laser, erbium laser resurfacing, acne scar laser treatment, micro droplet silicone for scars, Reneuva fat grafting, Halo laser, erbium pro fractional, erbium contour mode.
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
Texture, volume loss, pigmentation, and collagen deficit: each layer treated in sequence, each modality chosen for what it rebuilds.
Dr. Emer built his reputation on outcomes that require multiple technologies working together. He does not treat acne scars with a single laser pass or a single filler. He stages the work: Halo laser to address pigment and pore size, micro droplet silicone to fill depressed scars, Reneuva to build synthetic fat in areas of volume loss, and finally fully ablative erbium to remove the top layer of skin and force complete resurfacing.
The Rebirth protocol is the most aggressive version of that plan, reserved for patients with deep scarring who want transformative improvement and are willing to commit to the downtime and aftercare. Patients fly to him from across the country for this treatment because it is not offered at this depth in most practices.
It coagulates tissue and stops bleeding as it works, but the heat limits how deep and wide you can treat in one session.
It drills holes and leaves them open, allowing deeper and more extensive treatment without excessive thermal injury.
Lower thermal damage means less prolonged redness, lower risk of pigmentation issues, and quicker return to normal activity.
Deep fractional for collagen stimulation, fully ablative for surface removal, both blended across the face for uniform texture.
Asked plainly, answered plainly
Five to seven days for the skin to peel, followed by another five to seven days of redness. You can return to normal activity, including exercise, once the skin has fully peeled. The exact timeline depends on treatment depth and your skin's healing response, which are assessed during consultation.
Most patients do this awake with topical numbing and nerve blocks. Some choose sedation depending on pain tolerance and treatment area. Dr. Emer can work at maximum depth and coverage when patients are awake, though sedation is available if needed.
Antibiotics and antiviral medication to prevent infection and breakout while your skin is open, plus strict skincare applied two to three times daily. Dr. Emer provides the Reskin Stabilis protocol: anti-inflammatory botanicals, peptides, and stem cells designed to stabilize healing. Sleeping with your head elevated helps reduce swelling.
Yes, but settings and protocols are modified based on skin type. Dr. Emer regularly treats ethnic skin tones, including African-American, Hispanic, and Asian skin. Candidacy and risk are determined during consultation based on your skin type, scarring severity, and medical history.
This patient completed four stages over several months: Halo laser, micro droplet silicone and Reneuva, deep fractional erbium, and fully ablative erbium. The number of treatments depends on scarring severity, skin type, and goals, which are assessed during consultation. Some patients require multiple RE:BIRTH sessions for maximum improvement.
Erbium is a cool laser that drills channels without excessive heat, allowing deeper and more extensive treatment in one session with faster healing and lower risk of prolonged redness or pigmentation issues. CO2 is a hot laser that coagulates tissue and stops bleeding, but the heat limits how deep and wide you can treat at once.
Pain varies by area: some areas feel like a two out of ten, others like a five or six. The deep fractional erbium tends to hurt more than the fully ablative contour mode. Patients are awake with topical numbing and nerve blocks, and most tolerate the treatment well.
Risk of infection, prolonged redness, pigmentation changes, and scarring. Antibiotics, antiviral medication, and strict aftercare protocols are required to minimize these risks. Candidacy and risk are determined during consultation based on skin type, medical history, and scarring severity.
A consultation with Dr. Emer covers your scarring, your skin type, and whether the Rebirth protocol fits your goals and your life.
Schedule ConsultationWest Hollywood and New York City