Trigger Warning - Best treatment for scar removal? (Photos)

Question

Hi, I am wondering what treatment can I get to reduce the appearance of my self harm scars from years ago.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. 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 discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

When addressing the reduction of self-harm scars, several treatment options can be considered based on the type, age, and severity of the scars. Here are some commonly recommended treatments:

Laser Therapy: Laser treatments, such as fractional laser therapy, can help reduce the appearance of scars by promoting collagen production and resurfacing the skin.

Microneedling: This technique involves using fine needles to create micro-injuries in the skin, stimulating the body’s natural healing process and improving the texture and appearance of scars.

Chemical Peels: Chemical peels can help remove the outer layers of skin, promoting new, smoother skin growth and improving the appearance of superficial scars.

Dermabrasion: This method involves the controlled exfoliation of the skin, which can help reduce the appearance of more superficial scars.

Topical Treatments: Silicone gels or sheets, as well as certain prescription creams containing ingredients like retinoids or hyaluronic acid, can help improve scar texture and appearance over time.

Surgical Options: For more severe scars, surgical revision might be considered to alter the appearance of the scar or reduce its size.

Corticosteroid Injections: For raised scars, corticosteroid injections can help flatten and soften the scar tissue.

A thorough assessment by a dermatologist or a plastic surgeon will help determine the most suitable treatment based on your specific scars and skin type.

Nelson Lee Novick, MD · Answer

From the photos provided, the major issue here appears to be one of hypopigmentation. If so, then you may wish to consider the use of professionally performed, manual dermaroller microneedling (no need for the added expense or risks of RF microneedling) accompanied by the application of Rx pigment enhancers, such as topical tyrosine, to help repigment the area and thus better blend the scars with the surrounding normal skin.
Exercise "buyer beware" caution when offered expensive, "next big thing" fraxel lasers or RF gizmo treatments, as the hard science to back up the use of these often here-today-gone-tomorrow "bells and whistles" lags well behind the heavy marketing and social media buzz to promote their use. 
You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist scar treatment specialist. Best of luck.

Trigger Warning - Best treatment for scar removal? (Photos)

Answers (3)

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