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Excision Best for Deep Insect Bite Scar?

I have a deep scar from an insect bite. It's almost 5 months now. I consulted a dermatologist and plastic surgeon, both are of the opinion that it needs scar removal surgery and even after surgery, the entire spot may not go. The dermatologist mentioned that the tissues underlying the scar are dead, needs to be removed, and the skin has to be stitched. Is there any other option or do you think this is the right way to go? Thanks in advance!

Doctor Answers (3)

Insect bite scar and surgery


The treatment for insect bite scars on the legs are difficult. Although your scar is pigmented, surgery alone will likely lead to a lengthier scar and more pigmentation. 

Web reference:

Los Angeles Plastic Surgeon
5.0 out of 5 stars 43 reviews

Excision for deep scar sounds reasonable



It sounds like since both of your opinions agree that you are on the right track. For deep set scar removal of most (if not all) of that scar tends to produce the best result in most cases.

Orange Plastic Surgeon
5.0 out of 5 stars 22 reviews

Excision and laser


You did the correct thing in asking for two opinions. Since both your plastic surgeon and dermatologist agree that surgical excision is the proper avenue, who would I be to disagree?

After the scar has been revised, a touch of either the pulsed CO2 laser or Er: Yag laser would be of further benefit.

Good luck.

Virginia Beach Dermatologist
5.0 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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