Best in clinic treatment for surgical scars? (Photo)

Question

Hello , I have a very long scar from plastic surgery , She’s completely flat ( in the photo looks raised but it’s not I believe it was the light or angle ) I’ve tried everything when it comes to creams and I believe at home there’s nothing else I can . I also did over 20 micro needling treatments which helped I guess the redness went away but I’m very pale and the scar is very visible is like to blend this more . Is it possible ?

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

Anna Chacon, MD, FAAD · Answer

I understand your concern about your scar. It's important to note that while we can't completely erase scars, there are several medical treatments that may help to improve their appearance.
1. Laser therapy: Lasers can be used to reduce scar tissue and make scars less noticeable. There are different types of lasers available, and the best type for you would depend on your specific scar characteristics.
2. Dermabrasion: This treatment uses a special tool to remove the top layers of skin, which may help to reduce the appearance of scars.
3. Surgical revision: In some cases, a plastic surgeon may be able to revise the scar to make it less noticeable. This could involve altering the shape of the scar, repositioning it, or using certain techniques to blend it with the surrounding skin.
4. Tattooing or micropigmentation: This procedure involves implanting pigment into the skin to blend the scar with the surrounding skin color. It's often used for scars that have healed to be lighter than the surrounding skin.
5. Steroid injections: In some cases, injecting steroids directly into the scar can help to flatten it and reduce redness.
6. Silicone sheets or gels: Over-the-counter silicone products can be applied directly to the scar to help soften and flatten it.
It's essential to consult with a dermatologist or a plastic surgeon who can evaluate your scar and recommend the most appropriate treatment options based on your specific situation. Please note that what works best can vary depending on the person and the type of scar.

Randal Haworth, MD, FACS · Answer

Improving the appearance of scars can be challenging, but there are additional options you can explore. Laser treatments, silicone sheets, or gel may be considered. Consult with your plastic surgeon or a dermatologist to discuss potential interventions based on your scar type and skin characteristics. They can provide personalized recommendations to help minimize the visibility of the scar further.

Best in clinic treatment for surgical scars? (Photo)

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