What type of surgery can be done to my leg scar? Its about 4 yrs old..from a car accident. And what is the price range? (photo)

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 considered permanent.Not infrequently potential patients avoid surgery because fear of an unsightly scar. To remedy this, I now utilize and formulate compounded topical creams to treat, relieve and minimize scars for each of my patients:• new scars• old scars• surgical scars• keloid scars• stretch marks• hypertrophic scars• hyperpigmented (dark) scars• various acne scars, and more...These scar removal creams contain prescription strength medications each individually known to reduce and/or reverse the scarring process but never before compounded together into one high potency formulation. These medications are added to a base of anhydrous silicone (the most common ingredient in everyday topical scar therapy) and Pracaxi oil, found in the Amazon rainforest and known for its anti-inflammatory, antioxidant, antibacterial, and antifungal properties. Many health insurance plans actually cover the cost of the creams and they can be delivered directly to the patients door step. In other words, no need for multiple trips to the doctor for expensive and painful laser treatments, or wasted money on minimally effective over-the-counter topical scar therapy gels or silicone sheets that are unsightly and/or fail to stay on. Instead, with just two applications a day my patients now perform scar therapy in the comfort of their own home. Glad to help.

Our office specializes in scar removal. Fractional laser treatment + Plato's Scar Serum can help reduce the scar's appearance. Raffy Karamanoukian MD FACS

Fractional lasers can be helpful in approving the appearance but nothing will get rid of the scar completely.  I suggest seeking a cosmetic dermatologist with laser and surgery experience.  I wish you the best of luck, Dr. Emer.