고도 흉터 치료

고급 여드름 흉터 치료

고급 여드름 흉터 치료를 알아보는 분들은 대개 흉터의 깊이와 범위, 레이저만으로 충분한지, 재생 치료를 함께 봐야 하는지를 먼저 궁금해합니다. 이 페이지는 과장 없이 단계적인 접근을 안내하기 위한 내용입니다.

피부과 전문의

Board-Certified

AAD 국제 펠로우

IFAAD

FDA 인증 장비

해당 시술

MFDS 등록

보건복지부

윤상열 원장 감수

피부과 전문의 · 대표원장 · AAD 회원

개요

복합 흉터는 한 번의 강한 치료보다, 흉터 형태와 회복 속도에 맞춰 단계를 나눠 치료하는 편이 더 안전한 경우가 많습니다.

이런 고민에

권장 대상

소요 시간: 30-60 min (subcision + JUVELOOK + CO2 boundary shaping); 5-10 min (TAC)
권장 횟수: Subcision + JUVELOOK 1-3 mo apart; CO2 ~3 mo apart; TAC 1-2 wk × ~10
다운타임: ~3-4 days (subcision bruising); ~1 week (CO2 microcrust)
최적 결과: 12 months across course

Immediately post (subcision)
Mild swelling and bruising at the released zone; pinpoint puncture marks resolve over the first 24-48 hours.
Days 1-7 (subcision + CO2 layering)
Subcision bruising fades over 3-4 days; CO2 microcrust resolves over ~1 week. Pink tone may persist 1-2 weeks.
Weeks 4-8
Initial textural softening becomes visible; staged session interval allows full re-epithelialization before next visit.
3-6 months (mid-course)
Cumulative collagen remodeling visible across the staged sessions; raised-scar component progressively flattens with the TAC course.
12 months (post-course)
Structural scar improvement essentially semi-permanent. Maintenance protects new collagen from UV damage.

JUVELOOK — VAIM Co., Ltd. (Korea); subcision is a needle-based in-office procedureMFDS-approved PDLLA biostimulator

핵심 사양

: Fine-needle release and partial removal of fibrous bands tethering rolling and boxcar scars
: JUVELOOK placed in the released subdermal space supports collagen rebuilding and prevents re-tethering
: Recovery approximately 3-4 days (bruising and mild swelling)
: Sessions spaced 1-3 months apart, repeated as needed
: Ice-pick scars are not appropriate for this protocol — managed via CO2 boundary shaping instead

Operator confirm — Lutronic eCO2 / Lumenis UltraPulse / DEKA SmartXideFDA-cleared ablative fractional CO2 platforms

핵심 사양

: Controlled ablation of the scar rim flattens the visual step-off between scar and surrounding skin
: Applied to ice-pick scars and to the boundary of other atrophic scars
: Session time ~10-25 minutes; visible recovery ~1 week
: Sessions spaced approximately 3 months apart to allow full re-epithelialization
: Structural scar improvement is essentially semi-permanent once the course completes

Multiple manufacturers (Kenalog and Korean generics)MFDS-approved corticosteroid for intralesional injection

핵심 사양

: First-line for any raised, hypertrophic, or keloid component in the scar field
: Sessions spaced approximately 1-2 weeks apart for ~10 sessions to flatten and soften the scar
: Mild local atrophy and hypopigmentation are recognized side effects, especially in darker skin
: We do not use intralesional 5-FU — the TAC monotherapy cadence is calibrated to manage atrophy risk
: Vbeam Perfecta (PDL 595 nm) can be layered for the vascular (redness) component

“주사제와 에너지 장비는 반드시 의사가 직접 시행하며, 간호사나 테크니션에게 위임하지 않습니다. 본원은 피부과 전문의가 진료를 이끕니다.”
— 윤상열 원장 · 진료원장 · 피부과 전문의 · AAD International Fellow

First 48-72 hours (subcision)
Mild swelling and bruising are expected. Avoid pressure on the released zone; no hot showers, saunas, or vigorous exercise. Sleep with the head elevated for the first night.
First week (CO2)
Microcrusts flake off naturally over ~1 week — do NOT pick. Cleanse gently. Broad-spectrum SPF 50+ daily. Pink tone may persist 1-2 weeks.
Weeks 2-12
Strict sun protection continues. Avoid retinoids and exfoliating acids until full re-epithelialization. Schedule next session at protocol interval (subcision 1-3 months, CO2 ~3 months, TAC 1-2 weeks).
Long-term
Daily SPF 50+ to protect remodeling collagen. Photographic follow-up at clinic helps track scar remodeling progress.