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

Question

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?

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

Jason Emer, MD · Answer

I suggest a combination approach and you should see a scarring expert.  Co2 laser isn't the best for these types of scars.  Best, Dr. Emer.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.Another recommendation is micro-needling with prpThe best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.best of luck!Dr Schwartz

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

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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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Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.