4 Deep Chickenpox Scars

Question

hello. my name is laila. i have 4 deep dark chickenpox scars on my face. and they are dark. i would like to remove all of them if posible. i cant take them no more. they bother me "phsykial". everybody i asked they say i cant do anything about them . and it makes me sad of thinking of the future. what can i do? if surgical is the solution im down. but will it lead to another scar??? the doctors in denmark dont have so much experience around things like this. so im down to come to america .

Vivek Bansal, MD · Answer

A chickenpox scar can be treated in a variety of ways.  They can be excised, or cut out, and there will be a scar, but typically it will be much less noticeable than the one you have.  Over time, 1-2 years, our patients have trouble finding the scars.  The scars can be treated with laser after surgery and they respond much better than without surgery.  Be hopeful, this is able to be treated.  See a Board Certified Plastic Surgeon for a consultation.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne 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 acne 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 acne scars and indented acne 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 been 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 laser 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 acne 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

Benjamin Barankin, MD, FRCPC · Answer

I would consider 2 main options for your scars. Profractional or other fractionated laser resurfacing which will help perhaps 40-60% in improving the appearance of the scars, though they will temporarily give you some hyperpigmentation in the treated area which can be addressed with fading creams. The other option would be some punch or other excisions.

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