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You must decide between surgical and non surgical options. Combination treatment using our HIDEF protocols can help improve redness, texture, topography, and contour. I would begin with scar modulation and vbeam laser followed by fractional laser. Best, Dr. KaramanoukianRealself100 Surgeon
A HD close-up photo would have been very helpful. But, generally speaking, when it comes to indented scars, including those following prior surgery or trauma, subcision can be used to elevate and smooth them, and this can be followed by the use of professionally performed Dermastamp microneedling to improve any residual surface texture and tone irregularities and help the treated area to blend better with the surrounding normal skin. Surgical revision in areas of tension and movement run the risk for the subsequent development of stretch scars and even tram track stitch marks. And the marketing hype for expensive "bells and whilstles" gizmos, like fraxel lasers and RF devices, lags woefully behind the hard science to promote their use. So "buyer beware" would be good advice when evaluating claims for the use of these devices in this case. Make sure to consult an experienced, board certified cosmetic dermatologist. Best of luck.
Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne 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...
I have developed a protocol to repigment hypopigmented scars if there are remaining melanocytes that are actice. Plasma laser is key. Best, Dr. Karamanoukian Realself100 Surgeon
Hi there! I agree with the sentiments of the physicians you've spoken with. There's always a risk of making a scar worse. You can certainly try microneedling to soften the appearance. I agree with avoiding filler. Nano and microfat transfer are great options for nasal skin. This involves...