How can I remove this scar? (Photo)

Question

I have this scar above my butt This is the story of my scar I had a lipo 11march 2022 This scar was a hypertrophic scar My doc injected triamcinolone to this scar every month and it looks like this now It looks really bad now And it's above my butt Skin is thin Steria Looks red and sometimes different colors as U see I can see vessels I hope U can help me Thnx

Vincent Gardner, MD · Answer

Laser treatments will help remove the redness from the scar&hellip; IPL or a pulse dye Laser would work the best. If you do nothing, it will simply fade over time. The redness is due to small vessels that are present to help heal the wound. Also, you could consider using an ablative laser such as an erbium or CO2 if it is rough to the touch. If you did have some hypertrophic scarring know that any treatment could cause more hypertrophic scarring. As with anything time can also make a big difference so a watch and wait approach may be appropriate. Good 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

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