Scar remediation - what are my options? (Photo)

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

It’s common for scars, especially at the T-junction under the breast, to remain more visible if there was tension, delayed healing, or minor wound breakdown in the early stages. Even after two years, there are still effective ways to improve their appearance.

Potential scar remediation options include:

Laser treatments: Fractional laser or vascular lasers can help smooth texture, reduce redness, and soften thickened areas.

Microneedling or RF microneedling: Stimulates collagen remodeling to improve scar texture and blending with surrounding skin.

Steroid injections: If the scar is raised or thick (hypertrophic), small steroid injections can help flatten it.

Silicone therapy: Silicone gel or sheets can still improve scar pliability and reduce visibility over time.

Surgical revision: For more pronounced or bothersome scars, a minor procedure to re-excise and carefully close the scar can improve results.

Scars tend to mature over time but rarely disappear completely; however, with the right combination of treatments, they can often be made significantly less noticeable and easier to conceal.