Will this scar heal indented? (Photo)

Question

If it heals indented how can I minimize it ? Got cut about 3 weeks go

Jeff Rapaport, MD · Answer

Your scar may heal depressed. Subcision can indeed help release tethered scars, and platelet-rich plasma (PRP) injections can promote healing and lift the scar tissue. Fillers are also a popular choice for filling in indented scars. It's essential to discuss these options with a dermatologist or scar expert to determine the best approach for your specific scar.
Jeff Rapaport MD FAAD 
Realself Hall of Fame 
Castle Connolly Top Doctor

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

We have known since the late 1980s that the best time to treat any Imminent scar is the period between the end of week four when the developing scar (whether caused by injury, surgery, infection, acne, etc.) has healed well enough to withstand treatment,  and the end of week twelve-- after which the scar is considered"mature."  If appropriate treatment is received during that critical window of time, there is a possibility of "erasing" the scar. After twelve weeks, improvement is more in the range of 60-80%. Subcision, which I have been performing since 1996 is a simple, relatively inexpensive technique for elevating and smoothing all kinds of indented scars, with a several decades' long track record for both safety and efficacy in all skin types. You would be wise to seek consultation and treatment from an experienced, board certified cosmetic dermatologist scar treatment expert and best of luck.

Will this scar heal indented? (Photo)

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Will this scar heal indented? (Photo)

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