Deep acne scar in the glabellar region - how can this be improved? (Photo)

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.


Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

that scar looks depressed (in dented). It can be filled out, though one must be careful as this is a difficult and risky area for fillers. An endoscopic procedure may be indicated with some tissue grafting.

I completely understand how frustrating acne scars can feel, especially in such a central area of the face where they can impact your confidence. A deep scar in the glabellar region (between the eyebrows) can be challenging, but there are several effective approaches that may help improve its appearance:

Subcision, This is a minor in-office procedure where a small needle is used to break up the fibrous bands tethering the scar, which helps lift the depression.

Dermal fillers, Hyaluronic acid–based fillers can be used to temporarily raise the scar and smooth the surface. This often gives quick results and can be combined with subcision.

Laser resurfacing or microneedling, Fractional CO₂ lasers, erbium lasers, or RF microneedling can stimulate new collagen and remodel the scar tissue gradually.

TCA CROSS (Chemical Reconstruction of Skin Scars), For very deep or narrow scars, applying a small amount of trichloroacetic acid (TCA) directly into the scar can help build collagen over time.

Surgical options, In some stubborn cases, excision (removing the scar tissue and closing the skin with fine sutures) may be considered.

Often, the best improvement comes from a combination of treatments, spaced out over several months, to target different aspects of the scar tissue.

The good news is that with patience and the right approach, deep acne scars like this can often be softened and made much less noticeable.