HELP – Large Abrasion Scar on Forehead and Upper Bridge of Nose. Any and all advice will be gratefully appreciated! (photo)

Question

It was rather deep (it bleed and it was all raw). I cleaned it out with Hydrogen Peroxide and used Neosporin on it for a few days with a band aide. Was the wrong thing to do? Drawing from prior abrasions on my body from being an athlete, I have a high tendency to hold hyperpigmentation from the injury. It’s been almost 3 weeks, and the area is significantly redder in coloration than the rest of my forehead. I’m trying to avoid hyperpigmentation of the area & permanent noticeable discoloration!

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

This needs appropriate skin care, fractional laser procedures, and sun protection.  Please see a cosmetic dermatologist with experience.  Best, Dr. Emer.

Harold J. Kaplan, MD · Answer

Hi Rendy. The answer to your question would likely need an in person evaluation.  It's very difficult to tell how much of the issue is redness (pulsed dye lasers) vs. texture (fractional resurfacing).Both issues can be addressed, but it's not easily discerned what treatments are most appropriate given the photo.To see examples of before and after photos for scar removal treatments in our Orange, CA office, click below.

HELP – Large Abrasion Scar on Forehead and Upper Bridge of Nose. Any and all advice will be gratefully appreciated! (photo)

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