Scar Removal Q&A
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Opportunities Depressed Scar
asked 11 months ago by nordlicht86 in Flensburg, 10
Latest answer by Vivek Bansal, MD
Question viewed 399 times
Tags: depressed, options, technique
Hello, what opportunities are there to improve the appearance of the depressed scar shown in the attachment? Is Excision a useful choice? What else could be done? Or am I better advised to leave it alone? Thank you for your afforts! Many greetings
5 answers to Opportunities Depressed Scar
+3
Treatment for Depressed Scars
In my opinion the best option to improve your particular scar is surgical scar revision, ie excision as you mentioned. This essentially involves cutting out the scar and re-closing it.
Other options include topical scar treatments, trying to "plump up" the scar by injecting fillers, skin resurfacing (eg laser), or a combination of these. These will likely fall short of your expectations and could easily end up being more costly by the time you are done.
If you do decide on...
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Minas T. Chrysopoulo, MD
San Antonio Plastic Surgeon
San Antonio Plastic Surgeon
+2
Scar Removal
An excision is an option. With all excisions, the resulting scar may be worse or better. Only so much is under the control of the surgery and surgeon. How you heal is very important. Have a consult with a Board Certified Plastic Surgeon and evaluate your options.
Vivek Bansal, MD
Danville Plastic Surgeon
Danville Plastic Surgeon
+2
Fixing a depressed scar
The main option for fixing your depressed scar would be a surgical revision, although a fractionated laser such as the Profractional laser or Fraxel would be reasonable to try if you were surgically averse.
+2
How to improve a linear depressed lip scar
The best way to approach this is to do a very thin re-excision of the scar and bring the edges together appropriately and to make sure that there are internal sutures placed to remove any tension from the surface.
If the edges of the skin are brought together flat to each other, the end result is a depressed scar. If the edges are everted or turned out a small amount, that elevates the wound edges while healing and the scar normally heals flat with the skin.
The lips are a...
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+2
Lip scars can be helped, but are unpredictable
Your lip scar is a common result of a surgical reconstuction in a straight line on the lip. I personally feel that your scar looks to be a good one, but with constant movement as can be expected with the upper lip, the scar is pulled and the weaker scar tissue causes a collapse that gives the impression of a depressed scar.
Excision is defeinitly an option, but poses the risk of causing the same problem.
Laser may help blend in the edges a bit, but would eliminate...
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Daniel I. Wasserman, MD
Naples Dermatologic Surgeon
Naples Dermatologic Surgeon