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Hello. We are sorry that you have not received more specific information in the answers below but we will provide a more direct recommendation. The scar looks very raised still. Even though it is very old, steroids can still work to flatten the scar tissue. We prefer Kenalog to flatten raised scars. After the scar is flat, if you want to work on improving the texture of the skin, fractional laser resurfacing would be a good option. To see examples of Kenalog injections and laser resurfacing before and after photos, visit the link below.
This scar can be improved with a combination approach of lasers, microneedling/prp, subcision and fillers. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer
Dear redspraypaint,based on your description, it would be best that you visit your plastic surgeon for an in person examination. This way, your surgeon can assess your scars properly and determine the best course of action to address and resolve your concerns.Daniel Barrett, MD, MHA, MS Certified, American Board of Plastic Surgery Member, Am. Society of Plastic Surgery
We treat many of these scars. Start with Plato's Scar Serum, scar injection IIT, fractional laser, PRP SC, and pulsed dye laser. Best, Dr. Karamanoukian#Realself100 Surgeon