Theodore Harrison, MD, MBA

You might consider an injected fat graft with platelet-rich plasma (PRP). The physician would need to do a mini-liposuction to obtain the fat and then mix it with PRP before injecting it into the site. It works for breast augmentation, so it would likely work on a smaller scale here. Likely to be expensive though.

I think perhaps a couple treatments with subcutaneous injection of platelet-rich plasma would remodel the area and smooth out the scar.

This is a difficult case because of the skin pigmentation. First off I would counsel patience. You're only two months out from surgery and those scars are still in the remodeling process. Give it another four months and then see how things look.

If it's still a problem at six months out then you might want to consider platelet-rich plasma injections into the area. This will cause the scars to start remodeling again which will cause them to smooth out and it may also cause more uniform pigmentation of the skin in the area.

Cheapest: Just wait. The scar will continue to gradually remodel over the next 6+ months and may be much less significant by that time.

Most effective: You might need surgical revision, but injection with platelet-rich plasma might be just as effective (and cheaper). However, it might be harder to find a qualified regenerative physician to do this than to find a plastic surgeon.

This is the kind of small scar that might best be treated with local injection of platelet-rich plasma (PRP). A couple PRP treatments could be enough to remodel the skin causing decrease of pigmentation and smoothing of the bump.

Finding a qualified practitioner who can do PRP might require some effort. Some plastic surgeons, dermatologists, regenerative medicine specialists and even some family physicians have the training and equipment.