I have a couple very embarrassing self-inflicted burn scars on my arms. One is on my forearm and cannot be easily covered up so I am desperate to get rid of it in whatever way possible. What are my options for removing (or improving the appearance of) this scar? By the way, the scar is flush with the surface of the skin
Possible to Surgically Remove Self-inflicted Burn Scars on Arms?
Doctor Answers (6)
Old scars from cutting or self-inflicted burns
Old scars from cutting and self-inflicted burns can be reduced and improved using fractional co2 laser and scar revision. These are often hypopigmented and I have gotten long term results that are excellent.
This looks good for scar revision. It is a wide scar and revision can bring that down.The pigment difference between the scar and the normal tissue is the problem. Removal of as much scar as possible and coverage of the wound with the normal tissue nearby works reliably.
John Di Saia MD
Scar revision works well for wide scars in the setting of loose skin. If there is insufficient loose skin in the area of the scar, the closure will be tight which will lead to a wide scar--which is what you're trying to avoid in the first place! I suggest a consultation in person so that the surgeon can examine you and determine if scar revision is likely to improve your scar. Good luck!
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Best option for scar
With the size of the scar, I am concerned that surgical excision would leave a worse looking scar. I would look into laser scar treatments such as fractional ablative or fractional non-ablative procedures like Fraxel restore and Fraxel repair.
Best treatment is tattooing to camouflage them. The color must match the surrounding skin in order to achieve a good result.
Surgical removal of burn scar
I would recommend against surgical removal of this kind of scar. You would be likely to end up with a worse-looking scar than what you currently have. Safer approaches would be phototherapy to help re-pigment the scar and medical tattooing to camouflage the white discoloration.