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Unfortunately, at present, no scar regardless of cause can be completely erased. On the other hand, many scars, including hyperpigmented burn scars, may be improved. I have found that a series of treatments that include fractional medical microneedle therapy, sometimes called skin needling, collagen induction therapy (CIT), or dermarolling, combined with depigmenting agents, such as lignin peroxidase, hydroquinone, azelaic and kojic acids can gratifyingly improve the appearance of many different kinds of scars, including burn scars.Fractional medical microneedling serves to break up abnormal scar collagen and allow it to be replaced with new, native collagen (neocollagenesis). The depigmenting substances may then be applied immediately following the microneedling treatment, a time when these agents are most likely to penetrate skin via the microscopic channels created in the skin as a result of the skin needling. A series of such treatments can serve to improve the appearance, texture and color of the scar.
Our office specializes in burn scar therapy. Patients are advised to apply Plato's Scar Serum and begin treatment with fractional laser. Raffy Karamanoukian MD FACS
The gold standard for hypertrophic (thickened, raised and red) scar therapy is pressure and time - occasionally a year or more. If this fails then scar revision surgery may be considered. Although the results of scar therapy vary from person to person and scar to scar, the results are...
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...
Scar revision for keloids can be accomplished in our office with surgery, IIT, and laser therapy. Cryotherapy is a lesser known and used procedure that may cause hypopigmentation that is permanent and disfiguring. Raffy Karamanoukian MD FACS
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...
Our office specializes in keloid therapy. We do not currently advise patients to undergo cryo treatment because of the long term risk of depigmentation. Other, less invasive treatments exist. Raffy Karamanoukian MD FACS
