Scarsdale Scar Removal doctors
 |
Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon
860 Fifth Avenue Ground Floor, New York |
|
12 answers |
 |
Lawrence Bass, MD
Manhattan Plastic Surgeon
568 Park Ave, New York |
||
 |
Luis Zapiach, MD
Paramus Plastic Surgeon
1 West Ridgewood Avenue Suite 302, Paramus |
||
 |
Eugene Sidoti
Scarsdale Plastic Surgeon
688 White Plains Rd Suite 220, Scarsdale |
Recent Answers
Hello, my question is, what method is the right one to treat the depressed scar on upper lip shown in the attachment and what i probably have to spend to revise it? if your opinion is, that the scar is healed very well and an operation is not useful, then i will be lucky to read this as well. greetings
Before investing in something expensive like fractional laser treatment (Fraxel, Active FX), meet with a careful dermatologic surgeon or plastic surgeon to discuss the use of fillers and a technique called subcision to raise a shallow scar on the face. Subcision involves using a needle to cut the fibrous layers under the skin to make a tunnel that can heal with new collagen, or be filled with a hyaluronic acid filler like Restylane or Juvederm. A few rounds of this will likely smooth out many light to moderate scars.
Based on the MD responses to questions about non-surgial scar treatment, it seems that there is some consensus that silicone sheeting and sunblock are reccomended. Is it best to apply sunblock to the scar and then put on the silicone sheeting? Or would the presence of sunblock on the skin interfere with the mechanism of action of the silicone? If so, could you apply sunblock to the outside surface of the silicone sheeting?
It can be difficult to figure out what to do for a thick red surgical scar with all the conflicting advice out there, plus the many "scar creams" on the market that have little double-blind, placebo-controlled evidence (the best quality evidence). It's important when being bombarded with scar cream commercials to remember that scars improve on their own over time, regardless of treatment, if they are not "true keloid" scars, which are tumorous tissue that grows in lumps beyond the original injury site--NOT hypertrophic scars which are normal scar tissue that is thickened but stays put where the original injury was.
Many people, including some surgeons and doctors, call everything thick a keloid. It's important to differentiate. Keloids need intervention by a doctor. Hypertrophic, thick scars may flatten by themselves over time (but will likely spread no matter what) but they can also be helped with injection of a cortisone, or by the application of silicone gel sheets. No matter what, keeping them out of the sun is important. This can be accomplished with sunscreen if there is no gel sheet. If there is, best to cover the gel sheet with something opaque like a bandaid or clothing.
I have had this scar for more than 20 years. I have tried retinol, bleaching creams, and scrubs. My skin texture is very fine and I scar very easily, as a result, my legs are not my best feature. What else can I do? Would microdermabrasion help?
Microdermabrasion often gets confused with dermabrasion, a deeper treatment. Dermabrasion should only be performed by experienced dermatologic or plastic surgeons. That said, it is not a good choice to try to improve an old, longstanding scar on the lower leg, since lower legs heal poorly and need more delicate, subtle treatments.
Different types of lasers combined with the appropriate creams AND good sun protection (not just your average SPF 30 moisturizer) can be put together to improve an old lower leg scar that has become brown over time. See a board-certified dermatologist or plastic surgeon to begin to explore the more complex options.