Is this a keloid scar? How can I fix it? (Photo)

Question

Is this a keloid scar? I've had 3 c sections and half the scar healed nicely, while the other half is terrible. How can I fix this?

Nelson Lee Novick, MD · Answer

The kind of deeply indented, atrophic C-section scar seen in the photo is not an uncommon problem. Subcision accompanied by the use of an injectable, robust, lifting filler can be used to elevate and smooth the scar. Once maximal elevation is achieved, professionally performed manual medical microneedling can be used to help further blend the inevitable residual color and textural irregularities with the surrounding normal skin. In your research, you will no doubt be bombarded with claims for this or that "bells and whistles" fraxel laser or RF devices, but bear in mind that to date these expensive, supposedly "next big thing" devices are supported far more by markeing and advertising hype and social media buzz than any hard science. So, "buyer beware" is good advice when evaluating these options. You would be wise to consult a board certified cosmetic dermatologist with expertise in scar treatments. Hope this helps.

Raffy Karamanoukian, MD, FACS · Answer

Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or multiple, using a combination platform that includes lasers, RF, scar modulation, Parke-Davis Scar Protocols, and injection therapy. Some keloids will require surgical intervention as an initial step for treatment. 
Best, 
Dr. Raffy Karamanoukian
Realself 100 Surgeon

Is this a keloid scar? How can I fix it? (Photo)

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Is this a keloid scar? How can I fix it? (Photo)

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