Treatment options for acne scars in Portland, OR – is laser therapy a good choice

Treatment options for acne scars in Portland, OR

Dr. Adam Maddox and the team at Thrive are well-known in Portland and beyond, having earned a reputation for excellence in aesthetic and wellness-related treatments. We see patients with a wide range of concerns, but perhaps none so common as acne.

Modern myths assure teens that they will outgrow acne. Often, the pimples do fade as puberty-related hormones subside, but not always. When it does clear, many people are left with lingering discoloration or deep scars. Sometimes acne returns later in life. The reality is that nearly everyone will experience this condition at some point, and it often leaves lasting marks.

Scar causes and prevention

Acne scars are caused by picking at or “popping” pimples. You’ve probably read or heard that statement many times and it is quite true – but it is misleading. When you puncture or squeeze a lesion, you are causing skin damage. It can cause the infection to spread, actually worsening acne, and it most certainly increases the risk of scarring. However, it is not the only cause of scars.

Even if you never touch a pimple, it can still leave a scar. This is most common with deep cysts and severe inflammation. As the lesion heals, it does not form enough new collagen to replace lost tissue. This leaves deep depressions, such as icepick or boxcar scars. Although less common, the opposite can occur, with excess collagen production causing a raised scar. Many people also experience discoloration, known as post-inflammatory hyperpigmentation (PIH), which is not technically a scar but troubling nevertheless.

The most important thing you can do to prevent scars is seek treatment for acne right away. The longer inflammation remains, the more skin damage it causes. We offer a variety of laser and light therapies, chemical peels, topical products and more. These treatments are designed to clear outbreaks quickly and help prevent future outbreaks.

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How laser treatment improves acne scars

How laser treatment improves acne scars - Laser Acne Treatment Portland ORSkin injury triggers a response within the body, including rapid collagen development. When it goes right, destroyed tissue is replaced and new, healthy, soft skin forms. When the body cannot completely repair damage, it must protect the area. In this case, a layer of tougher, more fibrous collagen forms, creating what we know scar tissue. Effective improvement of sunken acne scars requires a dual-action approach. The treatment must replace tissue loss and break up scar tissue.

That is exactly the goal of laser therapy. The procedure targets deep dermal layers. As tissue absorbs light energy it creates heat, which can soften rigid scar tissue. This process also “tricks” skin into activating healing mechanisms and producing new collagen.

Lasers for PIH

The discolored spots left by acne are temporary, they will usually fade over time. However, it can take years. If you don’t want to wait that long, laser resurfacing can be a good solution. This technique targets the upper layers of skin, eliminating damaged cells and stimulating rapid rejuvenation. As a fresh layer of skin forms, it is often free of discoloration, fine lines, and other blemishes.

Beyond lasers – additional options in acne scar treatment

Depending on the type and severity of scars, complete removal may not be possible. Laser resurfacing may eliminate superficial scarring but, the amount of new collagen generated is limited. Deep scars are not likely to disappear, though they can be improved considerably. In some cases, scars can be further improved with other types of treatment. This may include:

  • Chemical peeling – Similar to lasers, a powerful chemical peel can resurface the skin and stimulate tissue regeneration. Milder peels induce gentle rejuvenation and deep exfoliation. Various types of peels may be used to improve scars, treat active acne, or both.
  • Infini – This dual acting treatment can improve stubborn, hardened acne scars. It works with radiofrequency energy, which creates a therapeutic thermal reaction similar to laser treatment. However, the energy does not pass through the epidermis. Instead, it is delivered directly to deep layers via insulated microneedles. This technique allows optimal tissue heating with minimal impact on the skin’s surface, while the microneedling action manually breaks down thick scar tissue.
  •  Dermal fillers – Even with the help of various medical treatments, your body may not be able to create enough tissue to smooth out acne scars. Dermal fillers can replace missing tissue, raising the area to the same level as surrounding skin.

If you want to reduce the visual reminders of acne, call Thrive at (503) 928-6505 and schedule an appointment to find out if laser therapy or another treatment is best for you.

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I’ve been seeing Dr. Maddox for many years. He and his staff are always friendly and kind. Dr. Maddox is very up front about what to expect and what the results will be for any treatment That I have performed. I’ve always had good results no matter what treatments I’ve had. If you are looking for quality in anti aging care then Thrive Aesthetics is where you need to go. That’s why I keep coming back. You shouldn’t trust your anti aging needs to just anyone.

Dr. Adam Maddox - Medical Director

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A graduate from Northern Arizona University and the National College of Naturopathic Medicine, Dr. Adam Maddox is a very established professional in the field of integrative anti-aging and aesthetic medicine with a special interest in Botox, Restylane and Testosterone Replacement therapy for men to name a few.

As a board-certified physician, he has a passion to help people with their health especially as they get older. Dr. Maddox believes in maintaining a strong sense of empathy in order to better serve his patients whilst ensuring his care is personalized. In addition to practicing medicine, Dr. Maddox uses his time to train other medical professionals on various effective medical techniques used in the anti-ageing medical sphere such as injectable techniques. He is also the founder and medical director of Thrive Aesthetic and Anti-Aging Center in Portland, OR.

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Say goodbye to armpit hair and underarm sweating. Mirror Smooth (miraDry??) will save your day.


You shave it. You wax it, you laser it. Heck, you might even dye it pink. Talking about armpit hair. Now some people are saying you can microwave it away once and for all. We’re revealing a new treatment right now and our procedure room. Take it away, Doctor Ashton.

Hi guys So, I’m back here with doctor sheila Nazarian, board certified plastic surgeon and our patient Aaron. You’re going to be demonstrating this new microwave procedure to hit axillary hair, but before we get to that, tell, tell me why this hair bothered you, Aaron? Because I mean, you’re blonde, you wouldn’t mind.

I’m a personal trainer. I spend 95% of my day in a tank top in the gym or in a bikini and shaving every day is such a pain. No one likes to do it. I tried laser hair removal. It doesn’t work. If you have blonde hair and darker skin. So, I heard about mirror smooth So, thought I’d give it a try.

And you said it’s your game, okay, So, doctor Nazarian,


Go ahead and lie back Aaron. So, as you start working tell us a little bit about this technology. Who’s a good candidate for it and how? Does it work?

Well, the beauty of this technology is that everyone is a good candidate. Any skin colour, any hair colour? I’ve actually had the procedure performed on myself, didn’t get any hyperpigmentation from it.

So, you numbed Aaron up before we started, right?

Arron’s been numbed already. We’ve placed a temporary tattoo which basically gives us little tick marks. It’s really paint by numbers at that point and we use the microwave technology of mirror smooth to remove not only 70% of her hair with one treatment, but also the sweat and odour glands are also eliminated. So, it’s basically a little suction and some you know heat is applied, but because she’s numb there’s no pain.

You feel anything?
Fine, just a little pull,


And So, how many treatments typically does it take to really get a good effect?

So, 80% of people really only need one treatment. You’re going to get an 82% reduction in the sweat and odour glands and a 70% reduction in the hair growth. Which, if you’ve ever had laser hair, you know you need multiple treatments in order to get anywhere close to 70%.

So, what’s the cost range for something like this?

This that’s a great question. So, the first treatment is around 2000 dollars, but it’s, but if you think about how many laser hair removal treatments to do. I mean, it really is a great benefit and also laser hair doesn’t remove the sweat and odour glands.

Nice, well, 2000 dollars, meaning that you could throw away all your razors for the rest of your life.


Never have to worry about sweating in your armpits again and being musty.

No more deodorant and think of all the money you spend on deodorant over a lifetime.

That’s true.

And it takes how long to do both pitch?

We usually schedule people for an hour at a time?
An hour!

So, can you imagine an hour and you’re done.
Oh my gosh,


Sign me up, scoot over.

Second string.


The one done idea is very appealing.

Exactly, yeah.

Thanks for sharing that with us and thanks for showing us your armpits,

Thanks for having me

You’re welcome.

Anti-aging Specialist

In Portland OR-Dr. Maddox

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Anti-aging Specialist In Portland OR-Dr. Maddox

Feeling good and looking good. It’s not just about diet and exercise anymore. Aesthetic and anti-aging medicine makes a safe and effective addition to your routine. At thrive, we offer the very latest in non-invasive beauty technology like vanquish, a painless, non-surgical way to remove unwanted fat cells from your waist and hips. And best of all, treatments take less than an hour, leaving you plenty of time to enjoy the new you. Visit for complimentary consultation. Thrive aged beautifully.

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