SCARS
There are many different types of scars from the ones you can develop with acne, post surgery accidents or poor treatments. Each type of scar will require a different approach, may just one modality or several.
For those requiring collagen stimulation the microneedling may be the only kind of treatment necessary. This can be achieved with a medical roller or dermapen.
The Medical rolling, also known as percutaneous collagen induction is an alternative to laser resurfacing. While results may vary the procedure can achieve similar results to the ablative laser procedures without the same down time.*
It is performed with a roller which has fine protruding needles. These needles will puncture the skin, encouraging production of collagen and elastin. The epidermis is a complex, highly specialized organ, about 0.2 mm in thickness. To appear rejuvenated, it needs to be evenly colored, hydrated and smooth.The first step is proper home care with topicals, such as antioxidants, vitamins C and E, carotenoids, vitamin A. These alone cannot rebuild adequately lost collagen and elastin.*
With the medical rolling technique, the needles will penetrate the epidermis, but will not remove it, so these small punctures will rapidly heal. The skin bleeds only for a few seconds. These punctures, automatically initiate a complex chemical cascade including numerous growth factors alpha and beta, which result in a fibroblastic response. This surge of activity leads to production of more collagen and elastin by the fibroblasts. Keratinocytes migrate across the epidermal defect and thicken the epidermis.
Five days after this procedure a fibronectin matrix is laid down and along it collagen will be deposited. Tissue remodeling continues for months after the injury and is primarily done by the fibroblast. Collagen type III is gradually replaced by collagen type I.
Most ice pick scars or pitted scars will require the addition of ablative lasers to deeply exfoliate and stimulate collagen production. With our fractional ablative laser the down time is minimal, the treatments are fast and the results are apparent even after your first treatment.
For the discolored scars IPL (intense pulse light) is a better option. In some instances, lightening peels or combination peels will used be used by them selves or in combination with other treatments.
Belafill is now the filler of choice, FDA approved for use in acne scarring*
**Results may vary. Unless noted otherwise, testimonials are of real patients who have completed treatment(s.) Before and after images reflect real results from real patients, although individual results may vary. Statements estimating treatment duration and the amount of treatments required are based on the typical experience of patients of Park Avenue Medical Spa, however, duration and amount of treatments needed may vary per client. A guarantee is neither provided nor implied.

Dr. Tchelebi-Moscatello is a board-certified radiation oncologist and medical aesthetics specialist with a focus on cosmetic services. She studied medical aesthetics in Paris, France, and continues to stay updated with the latest aesthetic techniques under leaders in the field to provide patients with beautiful, natural-looking results. Along with being a member of the Academy of Cosmetic Physicians, the American Academy of Medical Aesthetics, The American Academy of Cosmetic Surgery, and the American Academy of Mesotherapy, Dr. Tchelebi-Moscatello is also a member of the International Society of Hair Restoration Surgery.