I'm looking to repair old piercing holes in my face and looking for a doctor in the Edmonton area -- any suggestions? (Photo)

Question

I have two piercing holes in my face. One in my nose and one below my lip. I want to get them repaired, but am unsure who would perform this procedure? I live in the Edmonton area.

Dallas Buchanan, MD · Answer

Thank you for your picture and questions. These small piercing holes can be tricky to correct as often surgical solutions offer worse scars than the original problem. Make sure you see a surgeon who is board certified by the American Board of Plastic Surgery for an evaluation and discussion of your options.Best of luck!

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

These scars can be improved with laser treatment, fillers, microneedling/prp and subcision to help texture and blending. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer

Daniel Barrett, MD · Answer

Dear rspink111,If you are considering a treatment, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I'm looking to repair old piercing holes in my face and looking for a doctor in the Edmonton area -- any suggestions? (Photo)

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