I had a Liplift 2 years ago and I got a hypertrophic scar…will micro needling help? (Photo)

Question

So I got Liplift 2 years ago and my scar got flat only 6 months ago after using silicone sheets. It is very white and I thought that micro needling might help to renew blood circulation and rebuild the collagen. I would be very thankful if someone could help me how to deal with it..thank you !

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

Anna Chacon, MD, FAAD · Answer

Microneedling in combination with topicals, such as corticosteroids, has been described in multiple studies for acne scars, burn scars, and hypertrophic scars, reducing scar size and repigmentation.Corticosteroid injections: This is the main treatment for hypertrophic scars. Injections are made into the scar tissue. They flatten and soften scar tissue and ease pain and itch. Cryotherapy and laser therapy, including long-pulsed laser or pulsed dye laser, have proven benefits in treating hypertrophic scars. Hope this helps

Nelson Lee Novick, MD · Answer

Intralesional injections of anti-inflammatory agents would first be advised to flatten any elevated (hypertrophic) portions of the scars. Once done, then professionally performed manual microneedling (no need for the added expense and risks of RF microneedling) can be performed to accompanied by the topical application of prescription pigment promoting medications to both better blend the scars in both texture and color with the surrounding normal skin. You would be wise to make sure to consult a board certified cosmetic dermatologist with scar treatment experience. Best of luck.

I had a Liplift 2 years ago and I got a hypertrophic scar…will micro needling help? (Photo)

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I had a Liplift 2 years ago and I got a hypertrophic scar…will micro needling help? (Photo)

Answers (3)

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Everything you need to know about Microneedling

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