Acne Scar Treatment specialist in Bangkok, Thailand-BAC Clinic

Treating acne scars doesn’t always mean the more expensive, the better. If the root cause isn’t addressed, even the priciest treatments can be ineffective. If you have unlimited time and money, you might choose any treatment available. But if you want real, lasting solutions without complications, this is your answer✅.

Acne scars require specialized procedures that rely on experience and a blend of techniques, tailored to each individual. At BAC Clinic, we prioritize precise, effective treatments that match your lifestyle.

✨”End” your acne scars💯 with 3 expert techniques:

✅ Subcision — Severing fibrous bands beneath scars with specialized tools, minimizing swelling and bruising. Our Microsubcision Program (Blunt Cannular Multilayer) delicately removes these bands across the face, offering clear results from the first session.

✅ Enhancement — Stimulate the subsurface of scars to plump and thicken, using PN/PDRN/TCA, complemented by other procedures.

✅ Reconstruction — Create fresh collagen and reorganize its structure for tighter pores with Infini MFR.

Ideal for those who:

✨ Have various, long-standing acne scars, non-responsive to laser treatments, leading to frustration.

✨ Underwent multiple subcisions, resulting in thicker fibrous bands, needing more precise treatment.

✨ Struggle with ice pick scars, sharp-edged boxcar scars, and wide pores.

✅ Acne scar treatment outcomes have a narrow margin. 👍 Top-quality tools and specific techniques. 📌 Noticeable improvement in the first session: about 40–60% (+/- 5–10%). 📌 Maximum improvement with sufficient sessions: up to 90% (+/- 3–7%).

👉 Choosing the right method at a standard price can improve scars by 40–90% (varies per individual). 👉 Consider whether paying more will yield significantly better results. Is a 5–15% improvement worth it, especially when changes are barely noticeable? 😊 Educate yourself before deciding on acne scar treatment.

📌 BAC’s acne scar treatment rates vary by scar type and severity, as treatments, sessions, and tools differ.

Microsubcision Program (Blunt Cannular Multilayer): Starting at 500 THB. Details:
The Microsubcision Program (Blunt Cannular Multilayer) involves the meticulous dissection and cutting of fibrous bands across the face, sometimes referred to as acne scar surgery. It is a method for treating acne scars by cutting the fibrous bands using specialized small needles, capable of cutting fibrous bands of all types. This technique causes minimal pain and may result in slight bruising, with visible results evident from the first session.
This acne scar treatment involves cutting fibrous bands with specialized small needles, causing minimal pain and slight bruising, with clear results from the first session.
📍Service fees when combined with Picosecond laser or Infini MFR: 👉 500 THB per spot/1,500 THB for the entire face.
When not combined with Picosecond laser or Infini MFR: 👉 900 THB per spot/2,900 THB for the entire face (standard price when not combined with laser)
TCA CROSS and TCA paint (TCA Chemical Reconstruction of Skin Scars) for deep, narrow ice pick and boxcar scars.
Combined with lasers like Picosecond and Infini MFR, starting at 500 THB per spot or 1,200 THB for full face.
Microneedle Fractional RF (Infini MFR USFDA standard): Starting at 9,900 THB, inclusive of additional treatments.
Rejuran Healer and Rejuran S: Starting at 8,900 THB.

📍Learn more and choose wisely https://bangkokacnescarrevision.com/

“Discover how to visibly improve wide pores and acne scars from the first treatment with the latest laser technology. This advanced solution addresses a variety of skin issues, especially the persistent problem of acne scars which only temporarily improve with other treatments, and can even lead to complications like melasma, burnt skin, or thinner skin unexpectedly. This article holds the answers you’re looking for about acne scar treatment. It introduces the Acne Scar Revision technique that deeply addresses every layer of the skin, exclusively at BAC Clinic.

No matter how advanced medical tools become, patients or those interested in cosmetic services still seek basic knowledge about these medical tools or lasers for skin problems. However, it’s essential to understand that lasers working on the same principle can yield significantly different results and effectiveness. Particularly, tools that stimulate new collagen production in the deeper skin layers are crucial for goals like collagen stimulation, pore tightening, acne scar treatment, and facial lifting. Therefore, it’s vital for patients dealing with these issues to choose tools that can genuinely solve their problems.”

The process of stimulating new collagen production in the dermal layer of the skin primarily involves the application of heat to the dermis. This heat causes injury (ablation) to the subcutaneous collagen. The extent of this injury is indicated by the Coagulation zone, which shows how much the released thermal energy stimulates the cells. The greater the stimulation, the more intense the process of new collagen production. Especially when the collagen in the dermis undergoes reorganization (dermal remodeling), it can more effectively address challenging skin issues. Examples include deep acne scars, wide pores, and also aids in facial lifting, revealing smoother, more refined skin.

Figure 1 Infini Coagulates the Dermis

Achieving the desired outcome in treatment is greatly influenced by the occurrence of COAGULATION. The more the COAGULATION ZONE is stimulated, the more new skin cells are generated. However, it’s important to note that more than just COAGULATION is needed; this process must occur in the dermal layer (DERMIS). This explains why different Microneedling RF devices yield varying results.

The heat necessary to stimulate skin cells to try to produce new collagen is around 40–45 degrees Celsius. Heat above 65 degrees Celsius causes collagen contraction. Therefore, the more energy delivered to the subcutaneous layer, the clearer the results. However, tools that only deliver RF energy superficially (like Exilis, Venus Freeze, Viora Reaction, 3Deep RF, eMatrix, eTwo, TriPolar RF, ReFirme, Sublime) struggle to deliver the heat at a temperature effective enough for collagen production in the dermis without causing burns. Hence, these tools need to be used in conjunction with cooling mechanisms.

Additionally, using the skin as a conduit for heat to deeper layers makes it difficult to predict outcomes, as cell condition, collagen thickness, and varying fat and water content within cells differ. It’s unpredictable whether the energy will reach the desired level. Too deep energy penetration can kill subcutaneous fat cells, while high energy in superficial layers can cause inflammation and dark spots due to burns.

The Micro-needle Fractional RF (Radio Frequency) laser system differs significantly from traditional Laser Skin Resurfacing or ablative lasers like CO2 lasers (e.g., eCO2, SmartXide, Fraxel). While both technologies are effective for treating acne scars, Micro-needle Fractional RF has the advantage of lower downtime and a reduced risk of Post Inflammatory Hyperpigmentation (PIH), making it suitable for darker skin tones.

CO2 lasers, a longstanding technology in acne scar treatment, work by creating controlled damage on the skin’s surface to stimulate collagen production and level out acne scars. However, since they ablate the skin from the top, they can cause crusting and grid-like patterns on the skin, and their penetration isn’t very deep. Additionally, CO2 lasers can make the skin more sensitive to sunlight and are more likely to cause PIH, especially if the energy settings are not properly adjusted, leading to potential burns or even melasma.

Fraxel uses Fractional CO2 technology with a more refined laser emission. Its wavelengths, 1,550 nm and 1,927 nm, are suitable for acne scars and pigmentation, respectively. Fraxel has fewer side effects like redness and crusting compared to CO2 lasers but still carries the risk of PIH due to the similar principle of ablating the top layer of skin. In terms of efficacy, Fraxel is less effective than CO2 lasers; approximately four Fraxel treatments are equivalent to one fractional CO2 treatment.

The E-matrix operates by transmitting energy through a pyramid-shaped tip under the skin, which is a more efficient energy delivery than CO2 Lasers and Fraxel. However, this method can cause significant heat buildup in the superficial layers of the skin, leading to redness, swelling, and a burning sensation, and is the most likely to cause noticeable crusting among acne scar treatments. Preparation for downtime is essential before undergoing E-matrix treatment.

Fractional Microneedle RF is a newer technology for treating acne scars. It transmits Fractional RF energy deep into the skin using micro-needles without affecting the top layer. Side effects are minimal, typically involving slight redness and swelling that resolve within 24 hours. Crusting is almost non-existent, with a rough feeling on the skin lasting only about 1–3 days. Since it causes minimal damage to the top layer of the skin, the risk of PIH is significantly lower, making it suitable for all skin types and tones.

Micro-needle Fractional RF stimulates collagen and elastin production in the deeper layers of the skin without damaging the upper layers. This makes it an effective and safe alternative to Skin Resurfacing lasers for treating even deep acne scars, with less risk of side effects and shorter recovery times. It is particularly advantageous for those with darker skin tones and higher risks of PIH.

The variation in results from different Micro-needle Fractional RF (MFR) devices, despite their similar fundamental technology, can be attributed to several key factors:

Insulated vs. Non-Insulated Needles: Some MFR devices use non-insulated needles, which can cause excessive heat buildup in the superficial skin layers (epidermis). This can lead to swelling, redness, potential dark spots, and inflammation in these upper skin layers.
Adjustable Needle Depth: Devices with non-adjustable needle depth might penetrate too deeply or not deeply enough. If the needles go too deep, the response in terms of new collagen formation may be minimal. Conversely, insufficient depth may not effectively stimulate the dermal layers where collagen and elastin reorganization is crucial.
Energy Emission Pattern: If the energy is not emitted in a fractional manner, it may only minimally stimulate the skin’s healing processes. Fractional energy delivery is important for making noticeable changes as it creates micro-injuries that prompt more significant healing and rejuvenation.
Technology Age: Older technologies might not be capable of delivering energy efficiently enough to achieve the desired level of coagulation (injury) in the dermis. This inadequacy in energy delivery affects the outcome, leading to less impressive results.

The effectiveness of MFR treatments in stimulating collagen and elastin production, and in achieving significant skin improvements, depends heavily on these technical aspects. Devices that lack precise control over needle depth, insulation, energy patterns, and sufficient power may lead to inconsistent and suboptimal results, requiring more treatment sessions and potentially causing more side effects.

Figure 2 shows the fractional energy emission pattern which affects the occurrence of thermal injury from Infini, monopolar, bipolar RF, and ablative laser (CO2)

Figure 3 shows the Coagulation zone at a depth of up to 3.5 mm.

The latest technology, INFINI MFR, uses insulated needles (Gold Insulation) that can adjust to a depth of 3.5 mm and emit energy fractionally. This creates a very high Coagulation zone in the dermal layer of the skin, even at very deep levels, resulting in true fractional RF ablation. This results in highly effective treatment for both shallow and deep acne scars in a shorter period, reducing redness, tightening pores, improving overall skin laxity, and revealing smoother, brighter skin. This breaks the norm of traditional MFR tools, which often show minimal change. The recommended number of treatments is 3–5 for acne scars and 1–3 for enlarged pores to see significant improvement and rapid skin quality enhancement. It can be combined with Rejuran healer, with the peak results appearing at 4–6 months, when collagen reorganization is complete.

A single session of the Infinity Scar Klear & Rejuvenation program is equivalent to 3–6 sessions of conventional MFR (Micro-needle Fractional RF) due to the technique of targeting 3 different depths.

How does it differ from Fractora?

Fractora is also a fractional microneedling RF, but it does not achieve true fractional RF ablation. Even though the energy is emitted through the needle tip, it moves between the needle and the electrode on the upper layer of the skin. This makes it unpredictable whether the energy can cause heat and create a coagulation zone, especially in the dermis, which is directly related to acne scars. If the energy does not reach this layer, it affects the treatment’s effectiveness. Additionally, the wide energy spread can cause pain or twitching. Furthermore, the maximum depth of the Fractora needle is only 1.5 mm, which is not sufficient for treating deep acne scars or for significant skin lifting. In contrast, the Infini technology, an advancement over Fractora, not only has insulated needles to reduce obvious scabbing on the uppermost layer of the skin but also penetrates up to 3.5 mm deep, addressing deeper acne scars and offering concurrent skin tightening benefits.

Figure 4 shows Fractora electrodes which are not insulated against heat and do not emit true fractional RF ablation energy.

The features of INFINI MFR in terms of skin lifting and reducing laxity are compared with ULTHERA.

Ulthera has three depth levels: 1.5mm, 3mm, and 4.5mm. The depth of 1.5 mm can reach the dermal layer, while the depth of 4.5 mm or the SMAS layer, which is mainly subcutaneous fat with little collagen, results in less coagulation with Ulthera. Additionally, upon completing Ulthera treatment, the number of coagulation points is approximately 7500–15,000 TPC’s, whereas Infini achieves up to 50,000 TPC’s or more, leading to better results in skin lifting beneath the surface at a lower cost per session.

In summary, skin lifting requires a crucial process known as coagulation injury (energy release causing injury around the release points), which must occur in the dermal layer only. It is observed that most tools releasing RF energy cannot precisely direct the energy nor ensure it reaches the dermal layer with enough intensity to cause coagulation injury. If this process does not occur, it explains why the treatment results might be unsatisfactory.”

Treat acne scars and wide pores, restoring smooth skin exclusively with the Acne Scar Revision technique at BAC Clinic. Book your appointment through LINE @bacclinic (click)