Can I cryo-freeze this scar off and what would be the outcome? (Photo)

Question

What would be the potential best case and worst case scenario of freezing this scar off? It is the size of a raisin and thick/raised. It is a few layers of skin deep. Will freezing it peel it off and leave a completely flat surface that is COMPLETELY flush with the surrounding skin? Is it possible that it will leave no detectable contour after? How does the liquid nitrogen know to only freeze and destroy the scar tissue? I will probably get a cosmetic tattoo over it after.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. 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 discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

Unfortunately, it's difficult to determine the best solution for you without the benefit of photographs or a formal evaluation. Generally speaking, scars can be improved with a combination of surgery and/or lasers and microneedling with PRP. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. Best, Dr. Emer 
1. Vascular lasers (Yellow laser, V-Beam, Excel V)2. Fractional lasers (Fraxel, Erbium, CO2)3. Microneedling/PRP4. Silicone-based scar gels with growth factors5. Excision / revision surgery
See an expert to develop a treatment plan that works for you. Best, Dr. Emer

Kristine Brecht, MD (license suspended) · Answer

Dear Georgia,Freezing a scar can take a few layers of with each treatment, but you may be left with hypo pigmentations in the area of freezing.Injecting some scars with steroids makes them flatten a bit.Excision of the scar, however, is the only sure way to get rid of the scar tissue.Good after care will help it heal flat.Best. Dr Brecht Seattle, Wa

Can I cryo-freeze this scar off and what would be the outcome? (Photo)

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Can I cryo-freeze this scar off and what would be the outcome? (Photo)

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Our mission is to create a world where every investment in modern beauty is Worth It.