Which procedure would help minimize the appearance of a depressed chicken pox scar on the nose? (photo)

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Subcision, which I have been performing with gratifying results since 1995, is a quick and relatively inexpensive technique for elevating and smoothing all kinds of depressed scars, including those from chickenpox. It has a proven track record for safety and efficacy in all skin types. On occasion the side walls of the scar may need to be additionally smoothed with TCA CROSS, another quick and simple procedure with a proven track record for safety and efficacy in all skin types that I have been using for twenty-three years since it was first introduced. No doubt, you will be asked to consider surgical excision--i.e. scar revision surgery. However, in areas subject to motion or skin tension, such as this location, there is a considerable risk for the subsequent development of an unsightly stretch scar and even tram track stitch tracks. And you may also be offered this or that expensive, "bells and whistles" fraxel laser or RF device treatment. It is worthy to note that the hard science to support the use of these supposedly "next big thing" gizmos lacks woefully behind the heavy device manufacturer or social media influencer-backed hype to promote them. You would be wise to consult with an experienced, board certified cosmetic dermatologist scar specialist. Best of luck..

Good Morning Prowess5123,I hope this message finds you well. From what I can see in your image - you have options of subcision, laser remodelling, filler placement, fat grafting and microblading as options to conceal or convert the scar to a more smooth surface as it would have been prior to your episode of chicken pox. Although an image is a great starting point , I would recommend a video consultation / in person consultation with a board certified Aesthetic Plastic surgeon to take this forward and thoroughly answer your query.Dr. Pranav Reddy Jambula