20 year old scar on upper lip - Removal options? (photo)

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

Laser Resurfacing
Laser treatments can target the scar to improve its texture and color, making it less noticeable. This method stimulates collagen production and can reduce the scar's visibility over multiple sessions.

Surgical Scar Revision
This involves removing the scar tissue and either using a skin flap or graft to cover the area. Techniques like Z-plasty can move the scar into a natural skin fold or crease to minimize its visibility.

Dermabrasion
This method uses an abrading tool to remove the upper layers of the skin, making rough or elevated scars less prominent.

Corticosteroid Injections
For keloid or hypertrophic scars, injections of steroids can reduce the size and inflammation of the scar. If necessary, surgical removal of the excess tissue can follow.

Silicone-Based Treatments
Using silicone gels or sheets can help flatten and soften the scar, keeping the skin hydrated and reducing excessive collagen production.

Microneedling Therapy
This non-invasive treatment can improve the scar's softness and texture by boosting collagen production, helping to restore a more natural look.

Each of these methods has its own benefits and potential risks, so it is crucial to consult with a qualified healthcare professional to determine the best approach based on the individual's scar characteristics and healing needs.