What are my options for deep chicken pox scar between my brows? (Photo)

Question

I’m lost and depressed. I had a scar removal done for a deep chicken pox scar between my brows. You can see this is this result even after many co2 and microneedling appointments. Should I keep doing laser? Try removal again with less wound tension? I don’t leave my house anymore because this sticks out like a sore thumb right in the middle of my face. I’m a young girl and it’s killing me. Please give me your recommendations. Ty

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

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

I'm so sorry you are going through this. I have repeatedly cautioned my regular followers that surgical revision has a high chance of given rise to stretch scars and tram track stitch marks, especially when performed in areas, such as between the eyebrows, that are subject to static and dynamic tension. So sorry, but of course hardly surprised by this happening here. Subcision would have been a good first choice for elevating and smoothing the original chickenpox scar. That being said, the current linear scar has a significant indented component, and hence would still be amenable to subcision. Once elevation and smoothing are achieved through this, then manual Dermastamp microneedling (no need for the added expense and added risks of RF microneedling) can be used to blend the treated area better in both color and texture with the surrounding normal skin. You would be wise to consult an experienced, board certified cosmetic dermatologist, and best of luck.

What are my options for deep chicken pox scar between my brows? (Photo)

Answers (3)

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