How can I get rid of cigarette burns on my forearm? I've tried scar gels and creams and nothing has helped. (photos)

Question

I've been trying to get rid of these cigarette burns on my forearm since the start of July. I've tried scar gels and creams and nothing has helped. They are fairly flat, but have discolouration.

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

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist for after care. I recommend Silagen + Bioshield to promote healing. This scar can be improved with lasers (ProYellow, Excel V, VBeam) and microneedling/prp. See an expert. Best, Dr. Emer

Kristine Brecht, MD (license suspended) · Answer

Your scarring looks infected.See a provider that can evaluate this closer.Silvadene cream 3-4times daily is a good start. Once treated and fully healed, then you can do microneedling and prp to fade the scar.Best. Dr Brecht

How can I get rid of cigarette burns on my forearm? I've tried scar gels and creams and nothing has helped. (photos)

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