Has my microneedling tech missed my scar? (Photo)

Question

Female, 50. Treating scars on leg.

Camille Cash, MD · Answer

I understand your concern, but it may be that the healing from the treatment isn't uniform which is not uncommon.  If you are not noticing any improvement to your scar once the area is healed speak to your aesthetician.

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

After a microneedling session, it is common to have some areas that appear more treated than others due to the variability in skin texture and the technique used. If you feel that a specific scar was missed, you might notice less redness or a lack of tiny pinpricks in that area compared to surrounding treated skin.

Here are a few things you can consider:

Healing Time: Keep in mind that microneedling can have a cumulative effect, and it might take several sessions to see significant improvements in scar appearance.

Consult Your Technician: It's best to discuss your concerns directly with your microneedling technician or dermatologist. They can assess the area in person and determine if additional treatment is needed.

Follow-Up Care: Ensure you're following any aftercare instructions provided, as proper care can influence the overall effectiveness of the treatment.

If you continue to have concerns or feel the treatment was incomplete, scheduling a follow-up appointment to discuss your results and expectations can be helpful.

Has my microneedling tech missed my scar? (Photo)

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Has my microneedling tech missed my scar? (Photo)

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