Difference between lasers for scar revision?

Question

Can someone please explain the difference between various lasers to treat an atrophic, linear scar post skin-cancer removal. 32yo woman with fair skin - have had two deep FX treatments that did not yield results in terms of building up the depression of scar. What is better and how are they different: Deep FX, Sciton profractional, other? Thanks!

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

Leila Kump, MD · Answer

If your scar is deep and atrophic, lasers may not be the answer. Scar treatments now include nano fat transfers. It is a miraculous technology that helps to grow your own collagen. Fat is collected from abdomen under local anesthesia, then meticulously processed and injected into the scar tissue.

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