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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
Sulan,Scars on the sternum are some of the toughest to improve. However, we've had good luck with a combination of approaches that include steroid injections, microneedling, and lasers. Good luck. A photo would be helpful as it would give me a better idea what your scars look like.
I am assuming based on the cause that these are what we call hypertrophic scars. They are often addressed with fractional skin resurfacing (laser or radiofrequency).BestLisa Vuich, MD
