Surgery scar on cervical neck, indented & scar tissue surrounding incision makes it look wide. Would Fraxel Laser help? (photo)

Question

Surgery scar on cervical neck, it's indented and there is scar tissue surrounding incision makes it look wide. Would fraxel laser help? The skin is more delicate on that area so would a laser do more harm than good? How should I appouch fixing this scar

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. 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 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 scars and indented  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 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 lasers 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 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

Amir Bajoghli, MD · Answer

Fractional CO2 laser technologies (Fraxel, MiXto, Quadralase, etc.) are efficacious at reducing the appearance of surgical scars in the majority of individuals. These lasers work best when the texture of the scar is not overly raised. Generally, when treating indented scars such as yours with fractional lasers the results vary and may not be enough in achieving optimal results. These types of scars may also need additional treatments, such as hyaluronic acid filler agents (Restylane, Juvederm) or permanent fillers (Silikon 1000), if they do not fill in naturally over a 12 - 18 month period. The most common risks of fractional lasers include pigment changes such as hyperpigmentation or hypopigmentation (darker or lighter spots, respectively). Meticulous sun protection after the procedure is crucial to minimize the risk of pigmentary changes.

Surgery scar on cervical neck, indented & scar tissue surrounding incision makes it look wide. Would Fraxel Laser help? (photo)

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Surgery scar on cervical neck, indented & scar tissue surrounding incision makes it look wide. Would Fraxel Laser help? (photo)

Answers (2)

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Everything you need to know about Fraxel Laser

Our mission is to create a world where every investment in modern beauty is Worth It.