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What is the best treatment for old self harm scars? Considering CO2 Laser,Fraxel Laser&Dermaroller. & what about surgical scars?

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Lucy56Sep 15, 2015

I have a number of old (10+ yrs) white &slightly raised hypertrophic scars on my arms.I am currently using an at home Derma-roller every few weeks,which does seem to be improving the texture,however I wonder if Laser could provide a more significant improvement?If so,should I go for CO2 or Erbium? Also,I have two long flat surgical scars,from Scar Revision,which I would also like to improve.The skin is much thinner in these scars so I have not used a Derma-roller here,what's the best treatment?

Answers (3)

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Dr. Raffy Karamanoukian, MD, FACS
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Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
4.6 | 125 Reviews
Answered on Aug 14, 2023
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Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Sep 16, 2015
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Dr. Jaime S. Schwartz, MD, FACS
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Dr. Jaime S. Schwartz, MD, FACS
Board Certified Plastic Surgeon
4.7 | 136 Reviews
Answered on Sep 16, 2015
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Raffy Karamanoukian, MD, FACS

Begin with application of Plato's Scar Serum. I am one of the leading experts on keloid treatment in the country and would begin with topical massage, IIT, pulsed dye laser, and fractional co2. Best, Dr. Karamanoukian Los Angeles

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Raffy Karamanoukian, MD, FACS

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...

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Jason Emer, MD

This is a normal genetic line and there is no "cure" for this. I suggest leaving this area alone.  Best, Dr. Emer.

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Raffy Karamanoukian, MD, FACS

I am one of the leading experts on keloid scars and would use a non surgical approach that includes IIT, lasers, and application of Plato's Scar Serum. Best, Dr. Karamanoukian Los Angeles

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Jeff Angobaldo, MD

Thank you for your question. You don't need surgery to improve this. Creams to lighten the dark spots will help however you should really consider Laser Hair Removal. It will help tremendously with the hairs getting ingrown. Consult with a Board Certified Plastic Surgeon for a treatment plan...

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