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Best Method to Treat Depressed Scar?

asked 1 year ago by nordlicht86 in Flensburg, 10
Latest answer by Jessica J. Krant, MD, MPH
Question viewed 493 times
Tags: lips, options

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

4 answers to Best Method to Treat Depressed Scar?

+1

Subcision and filler work very well for shallow depressed scars on the face

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... more
Jessica J. Krant, MD, MPH

Manhattan Dermatologic Surgeon
+1

Lip Scar

Your scar is well oriented and about as narrow as could be expected following a surgical excision.  Therefore, I would direct my efforts away from any further cutting, as you would probably end up with the same result.  You could try fillers to raise the depressed scar.  Often this can be combined with subcision, a technique of sweeping away the scar tissue under the the depressed area with a microscalpel.  Sometimes this results in a permanent correction.  Otherwise... more
Yoash R. Enzer, MD

Providence Oculoplastic Surgeon

www.doctorenzer.com

+1

Concerned about depressed scar - re-excision, meticulous closure and dermabrasion should help

Concerned about depressed scar - re-excision, meticulous closure and dermabrasion should help. The scar is oriented relatively well with the wrinkles that we all eventually develop around the mouth. It is widened and somewhat depressed. If it doesn't particularly bother you, I would recommend leaving it alone. If it bothers you significantly, you should wait at least 12 months following the injury to pursue any treatment. The best option to improve this scar would be simple re-excision,... more
Stephen Weber, MD

Lone Tree Facial Plastic Surgeon
+1

Best way to treat a depressed scar

Treating a deprressed scar involves both filling the depression and surface of the scar to make it less noticable. I would recommend a combination of subcision with a Fractionated CO2 laser treatment called Deep FX. There will be some bruising and healing over a week and you may require 2-3 treatments for a best result. But the treatment should be extremely effective.
Mitchel Goldman, MD

San Diego Dermatologic Surgeon

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