How can I remove this piercing scar? (photo)

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your photographs, you may benefit from a surgical scar revision.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Hello and thank you for the question!  I recommend meeting with a board certified plastic surgeon in person to be sure however, it looks as if a subcision with a dermal filler will help even out the scar. Good luck! 

Dear plastixxx,it is hard to tell for sure without an examination but your scar might improve with subcision and dermal fillers but you might also need scar revision surgery. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

This can be improved with lasers, microneedling/prp, subcision and fillers. I recommend getting a formal evaluation with a facial scarring expert. Best, Dr. Emer

Injection fillers may help a bit; but definitive treatment requires surgical excision of the piercing track.Best, Dr. KaramanoukianRealself100 Surgeon

It is possible to improve this area by scar revision that can involve excision of the area and meticulous repair. Ultimately, in order to determine if such a procedure is reasonable, you should consult with a board certified plastic surgeon experienced with scar treatment.Steven Turkeltaub, MD

Piercing scars can be deep and heal with scar tissue and thick skin, a punch bx would remove most of that. After that heals try microneedling over the punch bx scar.
Kristine Brecht, MD
Seattle, Wa