One month old atrophic facial scar - how can I treat this? (Photos)

Thank you for sharing your photos and your detailed description — I can completely understand how distressing it can feel to have a noticeable scar on the face, especially one that’s still early in healing. The good news is that at one month, your scar is still in its immature stage, meaning there’s still potential for improvement with the right approach and time.

Right now, the area looks like it’s healing fairly well, though there is some visible surface depression (atrophy) and mild redness — both very typical at this stage. Over the next few months, color and texture often continue to evolve. The redness tends to fade gradually, and while some atrophic scars can fill in slightly as collagen remodeling continues, deeper ones may need additional help to smooth out.

Here’s how I would break it down:

In the early stage (now – 3 months):

Keep the scar protected from the sun — daily SPF 30+ is crucial to prevent permanent discoloration.

Apply a silicone gel or silicone sheet daily; it helps flatten and soften scars while optimizing healing.

Gentle massage with a healing ointment (like Aquaphor or a silicone-based scar gel) can stimulate circulation and improve collagen remodeling.

Avoid harsh treatments for now — the skin is still fragile.

After the scar matures (around 3–6 months):
If the depression persists, several options can help:

Microneedling or fractional laser (like Fraxel) — to stimulate collagen and improve both depth and texture.

Subcision — to release fibrotic bands that tether the scar down, helping it lift closer to the surface.

Filler (like hyaluronic acid or collagen stimulators) — can temporarily or semi-permanently fill in the atrophic area, blending it with surrounding skin.

PRP (platelet-rich plasma) — often combined with microneedling or laser to enhance healing and collagen regeneration.

These scars are absolutely manageable, and while it takes patience and layering of treatments, most people see a significant improvement in both texture and visibility over time.