What can help remove or at least fade these scars from spots I've squeezed? (photos)

Question

Over the years Iv had spots and have squeezed them and never had any issues. I used tretinoin and squeezed these 2 on my cheek and they have not faded, it’s been almost 2 years. Iv had several laser sessions and it’s done nothing. The doctor said these were vascular but then I went to another doctor and she said they weren’t vascular and this is why laser hasn’t worked. She suggested plasma pen, I just want a solution to get rid of or at least fade these marks

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne 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 acne 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 acne scars and indented acne 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 been 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 laser 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 acne 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

Jeff Rapaport, MD · Answer

In my opinion, you have vascular scar tissue on your cheeks. Treatment with a vascular laser or Ipl should help with the color. You may need to add Micro-needling  or fractionated laser to improve the texture and contour. Find a scar expert. 
Jeff Rapaport MD FAAD 
Realself Hall of Fame

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question and photograph. It's difficult to evaluate your skin through this type of forum, but from what I can see, it looks like you have hyperpigmentation. There are some topical lightening medications and certain types of lasers that work for these types of lesions. I highly recommend you consult with a board certified dermatologist or plastic surgeon to look at the marks and determine what is the best treatment for you. Take care and good luck.

What can help remove or at least fade these scars from spots I've squeezed? (photos)

Answers (3)

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