What Can Dissolve Subcutaneous Scar Tissue?

Question

I had an accident 5 years ago that resulted in stitches on my forehead. There is still leftover scar tissue underneath my skin. I don't want further "cutting" in this area but was hoping for injections of some kind of chemical/etc to dissolve this tissue. Is it possible?

Raffy Karamanoukian, MD, FACS · Answer

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

Alexandra Chambers, MD, PhD · Answer

Raised keloid scars (those that extend beyond the area of the original injury) can be treated with intra-lesional steroid injections, which will flatten it.  It is often combined with a dye laser treatment to increase the tissue remodeling effect.

	Atrophic depressed scars can be treated with collagen stimulating treatments such as micro-needling (dermarollers/dermastamps). I usually recommed at least twelve sessions (once per week).  Retinal creams can also be used between these sessions to increase cell turn-over.

What Can Dissolve Subcutaneous Scar Tissue?

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What Can Dissolve Subcutaneous Scar Tissue?

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