html Deep Wrinkle, Acne Trace and Skin Renewal Guide . Prof. Dr. Hasan Özdoğan
This content is for information purposes; it is necessary to evaluate the doctor for diagnosis and treatment.
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Medical Aesthetics

Deep Wrinkle, Acne Trace and Skin Renewal Guide

Safe patient choice, risks and 2026 approach 03 Why should be special to the person? 04 Treatment options and what problem is intended? 05 Who should not be done or delayed? 06 Skin diseases and immune system 07 Drugs, pregnancy and systemic diseases

Important noteThis content is for information purposes; it is necessary to evaluate the doctor for diagnosis and treatment.

Contents

All new guides

Source PDF: Deep Kirisiklik Akne Izi Cilt Newleme Kimlara Yapilmali 2026.pdf · 15 episodes

Part 1

EXCELLENCE,

EXCELLENCE,

YOUR AGE AND

FILTER NEW

Who should not be done?

Safe patient choice, risks and 2026 approaches

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Part 2

HOME 2

HOME 2

03 Why should skin resurfacing be special?

04 Treatment options and what problem is intended?

05 Who should not be done or delayed?

06 Skin diseases and immune system Home

07 Drugs, pregnancy and systemic diseases

08 Skin type, spot and mile risk

09 Accurate method according to the type of acne print

10 Results of improper patient selection

11 Clinical evaluation before treatment

12 Safe planning and combinations

13 After application maintenance and alarm findings

14 20 Item Security Check List

15 Results and scientific resources

Objective: This guide, deep wrinkles, acne scars and skin resurfacing to everyone

explain whether there is risky situations and correct questions with the doctor

Designed to help talk.

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Part 3

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HOME 3

Skin renewal cause personalized

Must?

Clinic

Atrophic acne trace

Dermis: collagen and elastin

subcutaneous fat tissue

Skin renewing is the general name of processes used to stimulate collagen production, reduce irregular tissue, improve the appearance of fine or deep wrinkles and smooth acne traces. But because of the two skin issues that appear the same, its depth and recovery capacity can be different.

Three basic evaluation

1. Type of the problem: Is wrinkles, volume loss, atrophic trail, fluffy scare?

2. 2. biology of the skin: skin type, pigment trend, oiling, tenderness and wound healing.

3. Personal risks: Diseases, drugs, active infection, sun and expectations.

Skin renewals do not provide “single session perfectness”. The purpose in deep tracks is not to completely destroy the time, but to reduce visibility and shade. The safe result depends on the correct dose of the correct method to the right person.

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Section 4

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Treatment options and what problem

for?

What is the method? Important limitedness

Fractional CO2 / Er:YAG Tissue irregularity, atrophic trace, photo aging recovery time; the risk of stains and infection Non-ablative fractional laser Fine wrinkles, light-middle trace More sessions may require RF micronucleization Atrophic trace, pore, tissue quality in active infection and some device/implan Tags

was not appropriate in the situation Tags

Micronutrition Lightweight-middle atrophic trace, tissue regeneration Non-applicable on active inflamed acne Chemical peeling/TCA CROSS Pigment, surface irregularity; selected ice-pick traces Burn, stain and scare risk; depth experience

requires

Subcision Pulls down with links Morarma, bleeding, vascular damage risk

Filling / biostimulator Selected sediment monitors and serious complications including volume loss vascular congestion

Botulinum toxin Dynamic wrinkles does not treat acne; temporary muscle movement

reduces

It does not mean that a process is “more powerful”, it is more accurate for the person.

Energy, density and session range can be planned more cautiously in people who are particularly prone to dark skin types and stains.

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Part 5

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HOME 5

Who should not be done or

should be delayed?

Why is the situation important? General approach m

Active infection / herpes Eradition, delayed healing and scare risk postpone treatment; infection treatment meat Active inflamed acne Microimmunication or ablation inflammation Can improve acne first to control the new tanning / sunburn and the risk of pigment change increases until the skin returns to normal

Keloid or poor wound healing Extreme skar response can develop Expert assessment; aggressive processes

Avoid history

Uncontrolled systemic disease Infection and the risk of wound healing Disease control and physician approval Non-realistic expectations Non-satisfaction and excessive risk of treatment Goals and limitations are clearly subject Tags

Common situations requiring precise or temporary postponement:

  • Active bacterial, viral or fungal infection in the field of treatment; active herpes/uhal.
  • Painful, irinli or deep active acne lesions.
  • New tanning, sunburn or intense UV exposure.
  • Open wound, dermatitis exacerbation or healed surgical area.
  • Uncontrolled diabetes, pronounced immune suppression or serious wound healing problem.

Some cases require the replacement of the method or the relevant specialist approval, not “can not be done”. Decision diagnosis is given according to the depth of the process and individual risk.

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Part 6

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HOME 6

Skin diseases and immune system Home

Egzama and contact dermati Tags

Active redness can increase the risk of inflammation and infection when there is itching, crack or leakage.

Clinic

It can trigger heat and trauma redness. Before rozase control, then with low irritation and personalized protocol.

Psoriasis

Skin trauma can trigger new lesions in some people (Koebner phenomenon). Aggressive processes are avoided in the active disease.

Vitiligo and pigment disorders

Trauma or inflammation can improve the change of pigment; dermatological assessment before treatment is important.

Keloid / hypertrophic skar trend Home

Deep, ablation or surgical procedures can carry higher risk in people with fluffy scarf in the past.

Immune suppression

Infection can increase the risk of viral reaktivation and delayed recovery. With the doctor who manages treatment

need coordination.

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Part 7

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HOME 7

Drugs, pregnancy and systemic diseases

Why is the situation? Practical approach m

Automatic time rule on wound healing and skar risk according to Isotinoin Processing, the type of operation, dosage and

Reviews need to evaluate current evidence with dermatologist decision

Blood-waterings can increase the risk of Morarma and bleeding without self-cut; with the doctor prescribed

Tags

Cortiosteroid / Healing and risk of infection can be affected by risk-relevance assessment and approval of the attending physician

immunosuppressant

Photosensitivity-freeing drugs After light/laser the risk of reaction is assessed along with the drug and device wavelength Pregnancy / breastfeeding E Collective processes may be limited to most invasive-esthetic treatment after childbirth

delayed

Uncontrolled diabetes / vein Wound healing and risk of infection Before systemic disease control

disease

Important: Aspirin, anticoagulant, steroid or other prescription drug only process

should not be consulted to the doctor.

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Section 8

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Page 8

Skin type, spot and scare risk

Fitzpatrick skin type defines the response skin to sun. The thought that can not be processed in dark skin types is not correct; but the risk of postinflaming hyperpigmentation is higher, and the device parameters, cooling, front care and sun protection should be carefully planned.

Why does risk increase? Protective approach m

recently melted the unwanted absorption of tannin increase energy, tight sun protection

can increase

Melazma History Heat and inflammation can trigger staining special plan; aggressive heat avoidance Past PIH history New inflammation post spot probability is high test area, low density, long session range Dark skin type PIH and more careful in terms of hypopigmentation Experienced physician, personalized device/energy

parameter need to choose Home

The risk of staining during the recovery period of sun protection increases treatment to the appropriate season

Sun protection is not only “assess after processing”; it is part of the choice of safe patient. The aggressive renewal process can be delayed in the person who cannot provide regular protection.

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Part 9

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HOME 9

Accurate method according to the type of acne trace

Ice-pick tracks

Dar and deep tracks. Surfaceal micronucle alone can remain insufficient; TCA CROSS or punch techniques are evaluated in selected cases.

Boxcar tracks

Sharp limited deposits. Fractional laser according to the depth, RF micronucleing, punch elevation or filling combinations may be required.

Rolling track

fibrotic tapes under the skin pull down the skin. Only methods that release tapes such as subcision instead of laser can be more meaningful.

Hypertrophic / keloid monitors

They are squeezing. Ablative renewal may be wrong choice; intralesional treatments, silicone, vascular laser or surgical options are evaluated by expert.

Red or brown monitors

Tissue may not be loss; erythemia or postinflammatory pigment change. It is necessary to approach the vein/pigment-oriented instead of “Cukur trace treatment”.

Active acne does not prevent the formation of new traces to start trace treatment while continuing.

Priority is controlled by inflammatory acne.

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Part 10

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HOME 10

Results of improper patient selection

Temporary redness and may be expected; the duration varies according to the method.

edema

Infection / herpes Pain increase requires irin, bad smell, common bubble or fire assessment.

reaktivation u

Postinflammatory can be more often especially in dark skin and sun exposure.

hyperpigmentation

Hypopigmentation can develop the opening of color that can be permanent after excessive energy or deep damage.

Skar and keloid Deep burn can occur with infection, inappropriate operation or predisposition.

Urological examination is necessary when uzamış meltem / Expected long.

Home Tags

The sudden pain, paleness, bruising network and vision change in vascular filling processes are urgent.

complications u

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Section 11

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Clinical evaluation before treatment

1 Is the dynamic or static of the recognizability, the permission is determined to be atrophic or fluffy.

2 The story is questioned from Uhal, keloid, pigment change, allergy, surgery, medicine and previous processes.

3 Skin examination Active acne, infection, dermatitis, tanning, melasma and barrier damage are evaluated.

4 Photo and scale Initial photos in standard light; trace severity and expectations are recorded.

5 Risk classification Skin type, recovery capacity, systemic disease and social recovery time are addressed.

6 Common decision Expected gains, ambiguity of the number of sessions, recovery time and complications are discussed.

Photo analysis or artificial intelligence-supported measurement can help; but diagnosis,

the contraindications and device adjustment decision will not be replaced.

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Part 12

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Page 12

Secure planning and combinations

Acne scars are not often the only type. The safe and effective approach is to place the appropriate method for each type of trace instead of trading in the same intensity to the whole face.

Why is the possible approach to the clinical target?

Active acne + trace Before acne control, then reduce the formation of new trace

Rolling + boxcar track Subcision + fractional energy method Both tapes and surface texture u

target

Ice-pick + surface irregularity Dotsal technical + then fractional treatment Deep and superficial components individually address Dynamic + static wrinkle Muscle movement treatment + skin regeneration / volume To target different causes of wrinkle

Close

Dark skin + PIH trend Pre-maintenance, low density, long range, reduce the risk of strict Pigment

Photokorum a

More transactions, better results did not mean Tags

Application of a large number of traumatic methods in the same session can improve inflammation, pigment change and recovery problems. Combinations are done at intervals to allow gradual and tap healing when necessary.

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Section 13

Page 13

Page 13

After application maintenance and hands m

Results

General care principles Home

  • Apply cleaning, humidification and barrier maintenance that the doctor recommends.
  • Do not scare the shells; do not use irritating peeling, retinoid and acids for the recommended time.
  • Regularly renew the large-spectrum sunscreen; avoid direct sun.
  • During the first time sleep the time given for sauna, steam, intensive exercise, pool and sea.
  • Learn from your doctor according to the type of process return to makeup and active cosmetics.

findings requiring immediate or early assessment

! Increased or missed pain

! Widely used in water collection, blackening or rapidly increasing wound ! rin, bad smell, fire or quickly spreading glow Tags

! Visual change after eye circumference process

! After filling paleness, signs of bruising or sudden vision in the form of the network

! Intense swelling or allergic symptoms that last longer than expected

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Part 14

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Page 14

20 Item Security Check List

â 1 A clear definition for the problem to be treated â 11. Is it using blood-watering?

?

â 12. Is pregnancy or lactation reported?

â 2. Is active acne checked before?

â 13 Purpose of the device and method used

â 3. Is herpes, infection or explained in the treatment area?

Is there a wound?

â 14 The person who will process is competent in this regard and â 4. Are I sunken or health professionals nearby?

Do I have a bronze?

â 15. Disposable material and sterilization

â 5 Are there conditions suitable for baldoid or bad wound healing?

?

â 16. Limits of expected results and methods

â 6 Have you ever been talking about permanent stain after laser/peeling?

Do I have?

â 17 From person to person

0– 7. 7. Does Melazma know that vitiligo, eczema, rozase or change?

Do I have psoriasis?

â 18. Socially ready for recovery time

â 8. Do I have diabetes and other chronic diseases?

under control?

â 19 Sun protection and maintenance instructions

9. 9. Can I apply a treatment that suppresses immunity?

?

â 20. I will reach in complications

â 10. Is there a pharmacy plan that performs Isotinoin or photosensitivity?

Are you using?

A single “ye” or “no” in this list does not decide automatically. But if there is an active infection, uncontrolled disease, new tanning, unrealistic expectations or unmatched care, the process should be delayed or re-programmed.

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Part 15

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Conclusion and scientific resources

The most important safety step in deep wrinkles, acne scars and skin renewal processes is the choice of the device, not the correct patient and accurate indication. In the presence of active infection, inflamed acne, sunburn, uncontrolled systemic disease, pronounced wound healing problem or unrealistic expectations, the procedure may be delayed.

Dark skin types are not blocked to treatment; it is necessary to plan more carefully due to the risk of pigment.

8 basic messages of the guide

1. First diagnosis, then processing.

2. 2. Trace treatment is delayed when there is active acne and infection.

3. Each acne trail is not straightened by the same method.

4. Treatment in dark skin is possible; PIH risk should be managed.

5. Drugs are not discontinued without the recommendation of the doctor.

6. Deep and aggressive operation is not always better.

7. Solar protection is part of treatment.

8. sudden severe pain, paleness, vision change or infection findings require urgent assessment.

Selected scientific and corporate resources

  • American Academy of Dermatology. Microneedling: instructions and situations in which treatment should be

delayed.

  • U.S. Food and Drug Administration. Medical lasers: safety principle and dispensing device.
  • Argobi Y. et al. © Copyright 1996-2016 - All Rights Reserved. 2026.
  • F. Take meat. The role of fractional radiofrequency in long-term acne scar management. 2025.
  • Mar K. et al. Treatment of post-inflammatory hyperpigmentation in skin of color: complications. 2024.
  • Prohaska J. Take meat. Laser defects. StatusPearls / NCBI Bookshelf.
  • Connolly D. et al. Acne scarring: examples, assessment and treatment options.
  • Meghe S. et al. Efficacy and safety considerations of microneedling and CO2 laser for acne scars. 2024.

Medical warning: This guide is for general information. Personal diagnosis, drug editing or

should be given to the evaluation.

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Content Controller: Prof. Dr. Hasan Ahmet Özdoğan · KBB and Head-Size Surgery
Last technical update: 18 July 2026 · Editorial principles and resource policy
This content is for general information purpose; it does not take place of examination, diagnosis and personal treatment. Independent specialist review should also be accepted as specified.