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Should I Use TCA After Scar Revision?
asked 1 year ago by Rerf in Honolulu, HI
Latest answer by Thomas Fiala, MD
Question viewed 232 times
Tags: forehead, male, chicken pox, depressed, filler, options, scar
I had a depressed chicken pox scar and it have gone through Scar Revision on January. However the revision failed and the scar opened up and now it's still depressed and wider. on February I had dermabrasion on the spot which made it even more wider but filled up the indent little bit. All these choises have been made by my dermatologist. He now says that he will use a filler on this soon. So: After he uses the filler, can i use TCA Peel on it ? the outer skin looks gross from stitches
3 answers to Should I Use TCA After Scar Revision?
+2
There are many ways to revise chicken pox scars.
Of all the ways to revise chicken pox scars, sometimes you have to try a few to get the best results. Some scars are cut out or stitched together in some form of fancy flap, some scars are undermined by subcisions and fillers or a gortex sheet implant placed under it to permanently raise it up. All ways need at least 1-2 dermabrasions to finally blend it but TCA isn't very effective for these scars.
+1
Chicken pox scar problems
These are often challenging to treat. I don't think that TCA is the "right tool for the job" here. It won't really help either the color or the depression.
You may need a surgical scar revision to improve the width, or laser treatments to tone down the redness.
See a local plastic surgeon to discuss your best options.
+1
Laser Scar Revision may be your best option for a Chicken Pox scar
The treatment of chicken pox scars can be challenging. Although a TCA peel may improve the texture and tone of your skin overall, it may not prove to be an effective treatment for your existing chicken pox scar. In addition, I have found that in some cases- injectable fillers may make the scar MORE pronounced rather than filling it in. I tend to only use an injectable fillers for scar revision if the patient has declined all other options for treatment...including...
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