Acne scars are usually caused by pimples that undermine the integrity of the epidermis and dermis of the skin. Scars can become discolored, red, or indented; depending on the severity of the acne breakouts.

Beverly Hills plastic surgeon Dr. Raffy Karamanoukian is a leader in the management of acne scars using a combination HIDEF approach that utilizes surgery, lasers, and fractional RF. By using the latest scar protocols, Dr. Karamanoukian can improve the texture and complexion of the skin.

1. Subcision Technique

Subcision is an important component of acne scar therapy for those scars that are indented or atrophic. This technique, in combination with fibrous release, addresses scar tethering and atrophic indentation of the dermis.

2. Fractional Laser

There are several different types of fractional laser that are used in our office, including Fraxel, CO2, and Clear and Brilliant laser. The type of laser used by Dr. Karamanoukian depends on the severity of textural changes in the skin. Fractional CO2 laser is most useful for highly scarred skin that exhibits changes in surface topography.

3. NanoRF

Dr. Karamanoukian is an expert in the use of NanoRF with microneedling to improve textural changes in skin topography in patients with acne scars. RF Radiofrequency can stimulate deep dermal collagen formation; especially in those patients with severe atrophic scarring.

4. Hyaluronic Filler

Some atrophic acne scars respond well to the intralesional injection of hyaluronic acid fillers such as Juvederm and Restylane. Dr. Karamanoukian is an expert in dermal injections to help improve surface topography and contour.

5. PRP Scar Modulation

Platelet Rich Plasma can be used to stimulate collagen formation within scar tissue. Dr. Karamanoukian employs PRP Scar Modulation as an adjunct to laser and NanoRF to improve longterm results with acne scar treatments.


Dr. Raffy Karamanoukian directs a contemporary plastic surgery and cosmetic dermatology center in Santa Monica and Beverly Hills, California. He is available for consultation by appointment at Kare Plastic Surgery + Skin Health Center. Visit www.kareplasticsurgery.com or @kareplasticsurgerymd on Instagram to learn more.

Dr. Raffy Karamanoukian recently opened a contemporary and state-of-the-art plastic surgery and skin health clinic blocks away from famed Santa Monica Beach. He is available for consultation by appointment at Kare Plastic Surgery & Skin Health Center (804 7th Street, Santa Monica). You may head on to www.kareplasticsurgery.com and www.surgery90210.com to know more about the amazing services that they offer.