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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
This is a tough area and “removal” is not easy. Have an evaluation with a Board Certified Plastic Surgeon who does noses, and there may be surgical options , laser, or time.
Chicken pox scars can be difficult to treat depending on the size of the scar and the location. It may take a combination of injections such as Restylane and Fraxel lasers to improve the appearance of the scars. For the best cosmetic results please consult a board certified dermatologist with a great deal of experience with lasers and scar treatments.
There are a few options which I have used successfully - subcision (needling under the skin), TCA cross treatment, and fractionated laser resurfacing. In some cases a simple punch excision can be very successful. Best to have a consultation with your dermatologist to discuss the best option for you.
Without a picture it is difficult to tell what your best choice is.Excision is one choice CO2 laser resurfacing is another, sometimes a filler may help.