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

Question

What would be the best treatment for a depressed chickenpox scar at the tip of the nose?

Nelson Lee Novick, MD · Answer

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..

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Pranav Jambula, MBBS, MS, MCh · Answer

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

Ankit Gupta, MCh, MS, MBBS · Answer

HelloFrom the pics uploaded you have a depressed scar on an area which is not good for scar revision surgery- so , I would recommend u can under go a scar subscision with some filling with either filler or fat in the undersurface of the scar. I have the experience of doing few cases like these so I can assure you that this will definitely improve your scar by certainly 70-80 % 
I have done the same procedure SUBSCISION with fat grafting for many patients and it has made them happy.
hope this helps you improve ur scar.THANKSDr Ankit GuptaPitampura Delhi

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

Answers (4)

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