37, male, 5'11, 190lbs, & electric scooter accident - advice? (Photos)

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

I'm sorry to hear about your accident. Based on the information provided, here are some general recommendations. However, please remember to seek medical attention as soon as possible for a thorough evaluation and personalized advice.

Immediate Actions:
1. Assess for Serious Injuries:
- Check for any severe pain, bleeding, or visible deformities.
- If you suspect any fractures, head injuries, or severe wounds, go to the emergency room immediately.

2. Clean and Dress Wounds:
- For minor cuts and abrasions, clean the area with soap and water.
- Apply an antiseptic and cover with a sterile bandage.

3. Control Bleeding:
- Apply direct pressure to any bleeding wounds with a clean cloth or bandage.

4. Monitor for Concussion:
- Watch for symptoms such as headache, dizziness, nausea, confusion, or loss of consciousness. Seek medical attention if these occur.

Pain Management:
1. Over-the-Counter Pain Relief:
- Take acetaminophen or ibuprofen as directed to manage pain and inflammation.

2. Ice Application:
- Apply ice packs to any swollen or bruised areas for 20 minutes every hour for the first 48 hours.

Rest and Recovery:
1. Rest:
- Avoid strenuous activities and give your body time to heal.

2. Elevation:
- Elevate any injured limbs to reduce swelling.

Follow-Up:
1. Seek Medical Evaluation:
- Visit a healthcare provider for a thorough evaluation, especially if you experience persistent pain, swelling, or other concerning symptoms.

2. Physical Therapy:
- If you have sustained musculoskeletal injuries, your doctor may recommend physical therapy to aid recovery.

Preventive Measures for the Future:
1. Wear Protective Gear:
- Always wear a helmet, knee pads, elbow pads, and wrist guards while riding an electric scooter.

2. Ride Safely:
- Follow traffic rules, avoid high speeds, and be cautious of road conditions.

Documentation for Medical Records:
- Note the date and time of the accident.
- Describe the mechanism of injury (e.g., "fell forward off an electric scooter").
- Record any initial symptoms and actions taken

Contact Information:
- Provide your healthcare provider with your contact details and any relevant medical history.

Please ensure you see a healthcare professional promptly to get a comprehensive examination and tailored treatment plan.

It was already know back in the late 1980s that there is an ideal window of time for treating an imminent scar and that is between the end of week four after the injury or surgery (when the wound is strong enough to undergo treatment) and the end of week twelve following the injury or surgery (after which the scar is considered "mature"). If treated properly during this window of time, there is a good chance of erasing the scar. After this period, the likelihood for cosmetic improvement falls to between a 50-80% overall improvement in appearance.
Over the years, I have personally had very gratifying results using manual microneedling (no need for the added expense or risks of RF microneedling) for treating such injuries when performed during the critical window of time mentioned above. You would be wise to keep this time frame in mind and to consult with an experienced, board certified cosmetic dermatologist scar treatment specialist. Best of luck