What procedure would correct the indentation my surgical incision made? (Photo)

Question

42 yr old female

Anna Chacon, MD, FAAD · Answer

Thank you for your question. Indentations from surgical incisions can be a common concern, and there are several treatment options available to help correct them. Here are some procedures that might be considered:

Dermal Fillers: Injectable fillers can be used to raise the indentation to the level of the surrounding skin. This is a minimally invasive option with immediate results.

Fat Grafting: This procedure involves harvesting fat from another part of your body and injecting it into the indentation to improve volume and contour.

Subcision: This technique involves using a needle to break up fibrous tissue beneath the scar, which can help release the indentation and stimulate collagen production.

Laser Therapy: Certain lasers can improve skin texture and stimulate collagen production, which may help reduce the appearance of indentations over time.

Microneedling: This procedure uses small needles to create micro-injuries in the skin, promoting collagen production and improving skin texture.

Surgical Revision: In some cases, a minor surgical procedure can be performed to excise the scar and reclose the area for a smoother appearance.

It's important to consult with a board-certified dermatologist or plastic surgeon who can assess your specific situation and recommend the most appropriate treatment plan. They will consider factors such as the depth of the indentation, the location, and your skin type.

I hope this information helps you find a suitable solution.

Best regards,

Raffy Karamanoukian, MD, FACS · Answer

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

Darryl J. Blinski, MD · Answer

Based on your post of photos, best option would be either multiple sessions of Sculptra, injections, or micro macro crafting under local anesthesia Fees range from $1000-$3000. Best of virtual consult with.

What procedure would correct the indentation my surgical incision made? (Photo)

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What procedure would correct the indentation my surgical incision made? (Photo)

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Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.