I have a bold tribal mark given to me when I was a child, what are my options to get rid of it? (Photos)

Question

I am a 29 years old female, I'm from Nigeria, I need to know how i can reduce or remove a bold tribal mark on my check I got when I was a baby, pls doctor I really need an answer because it makes me feel uncomfortable and I don'twant it on my face on my wedding day because I want to look beautiful on that day....so pls advice me on how I can get rid of it locally or surgically...thank you.

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Emily Altman, MD · Answer

I would recommend doing a test spot with a fractional erbium laser to see if there is improvement of the scar.  There is always a risk of hyperpigmentation, so strict sun avoidance/protection must be practiced.  Also a skin lightening agent should be used for a month before and a month after the procedure.

	If the results of the test spot are good, I would proceed to treat the entire scar.  One of the problems is that the scars are located on the convex area of the cheeks making them more noticeable.

Marialyn Sardo, MD · Answer

Unfortunately, removing your cheek scars surgically will only leave more scars in this area. It may be possible to dermabrade or sand the scar to flatten and blur its outline but this will probably leave a larger area of darker pigmentation. You would still need to use some kind of camouflaging makeup

I have a bold tribal mark given to me when I was a child, what are my options to get rid of it? (Photos)

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