Would Microneedling be effective on this Mohs surgery scar? (photos)

Question

This scar is a result of a Mohs surgery I had 2 years ago. I allowed the Mohs surgeon to laser the area immediately following the surgery, and then, again 1 month later. I've recently seen a facial plastic surgeon who has recommended I try microneedling first. In your opinion, would microneedling help to blend this area? Thank you.

A.J. Amadi, MD · Answer

Microneedling is a great way to improve the appearance of scar tissue. Unfortunately, when it comes to scars, they will always remain in some way, but we can soften the area and have them not appear as noticeably. I do believe microneedling would help improve the appearance of the Mohs scar.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question about microneedling for a Mohs surgery scar. Microneedling can help break down scar tissue in this area and promote new cell growth and collagen growth. I would suggest 3-4 sessions, 1 month apart. Microneedling is a low risk procedure and has minimal downtime.

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

At-home microneedling (see link) can be used to jumpstart the skin's natural healing process. The tiny needles puncture the skin to create micro-wounds. Professional-grade serums can be used in combination for maximum results. I suggest you seek out a board-certified dermatologist to discuss your best treatment options. Best, Dr. Emer

Jamé Heskett, MD · Answer

Hi, 
Yes, I think that micro needling would help with this scar, additionally, I would look into a local carboxy practitioner as that will increase the micro circulation in the area allowing the healing process to accelerate. 
Hope that helps!

Would Microneedling be effective on this Mohs surgery scar? (photos)

Answers (5)

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