How to treat scar hyperpigmentation,how to smooth texture?Will depression by kenalog fill in time?Will microneedling help(photo)

Question

2 mos ago I went to a medspa for DPNs removal, they used a laser which burned my cheek. They went beyond the superficial part of my skin. I developed a scar, looks like hypertrophic & really dark. 3 wks ago I went to a dermatologist, she did a kenalog inj to my scar. It developed slight skin atrophy,the scar now looks a little sunken, still dark & the texture is quite shiny. I've been applying biocorneum since week 1. I've been advised to start triluma and eventually do microneedling. I'm Asian

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Sanaz Harirchian, MD · Answer

Hi Sarah. Sorry to hear about your experience. You currently have a depressed scar. This can be treated with fillers to inflate the depressed region, in addition to laser resurfacing and microneedling. I would avoid any more kenalog injections into that area. Good luck. Best, Dr H

Jason Emer, MD · Answer

this can be treated with lasers, subcision and fillers. I suggest seeing an expert in lasers and scars.  Best, Dr. Emer.

William Marshall Guy, MD · Answer

Hello Sarah1430,Sorry to hear about your experience.  As far as what to do now, I would be on the conservative side.  A lot of what you are seeing is the pink color as the body heals the injury you had.  It can take up to a year for the pinkness to go away, and using somthing like BioCorneum to help prevent a tan there can be of benefit.  The area certainly is derpessed.  I don't know what it looked like when you received the injection, but none of hte pictures you included looked like a hypertrophic scar.  A hypertrophic scar is elevated above the surrounding tissue but yours looks depressed.  The concept of doing microneedling is to helps stimulate collagen and elevate up the depressed area.  The results are not very dramatic but it may improve it slightly.  I would also recommend the use of temporary fillers to help elevate up the scar to the level of the surrounding skin.  That can be quite helpful.  In order to determine the best plan for you, I'd recommend you consult with a facial plastic surgeon.  I hope this helps and good luck.

How to treat scar hyperpigmentation,how to smooth texture?Will depression by kenalog fill in time?Will microneedling help(photo)

Answers (4)

Answer: Resurfx laser to help even out the skin texture and applying melarase creams

Answer: Resurfx laser to help even out the skin texture and applying melarase creams

Answer: Scar

Answer: Scar

Answer: Scar on Face -- Lasers, Microneedling/PRP, Subcision, Fillers, Dermaflage/ScarMD, skin lightening

Answer: Scar on Face -- Lasers, Microneedling/PRP, Subcision, Fillers, Dermaflage/ScarMD, skin lightening

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Answer: How to treat scar hyperpigmentation,how to smooth texture?Will depression by kenalog fill in time?Will microneedling help

Answer: How to treat scar hyperpigmentation,how to smooth texture?Will depression by kenalog fill in time?Will microneedling help

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How to treat scar hyperpigmentation,how to smooth texture?Will depression by kenalog fill in time?Will microneedling help(photo)

Answers (4)

Answer: Resurfx laser to help even out the skin texture and applying melarase creams

Answer: Resurfx laser to help even out the skin texture and applying melarase creams

Answer: Scar

Answer: Scar

Answer: Scar on Face -- Lasers, Microneedling/PRP, Subcision, Fillers, Dermaflage/ScarMD, skin lightening

Answer: Scar on Face -- Lasers, Microneedling/PRP, Subcision, Fillers, Dermaflage/ScarMD, skin lightening

Recommended reading

Everything you need to know about Scar Removal

Answer: How to treat scar hyperpigmentation,how to smooth texture?Will depression by kenalog fill in time?Will microneedling help

Answer: How to treat scar hyperpigmentation,how to smooth texture?Will depression by kenalog fill in time?Will microneedling help

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