Can Hyaluronic Acid Treatment Help Me with my Chickenpox Scars (They're Not Very Deep)? (photo)

Question

I had chickenpox somewhere around 6 months now and it has left me with some minor scars on my face. They look like on this picture, yet not that deep. The question is: can hyaluronic acid treatment help me with my scars? (I'm not aiming for 'perfect', but for 'less noticeable' or 'barely noticeable'. Thank you in advance.

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Harold J. Kaplan, MD · Answer

Hi Sandra. We would not reach for a hyaluronic acid based injection first. We would offer fractional laser resurfacing. Although HAs can help with some types of scars, the area you want treated is small and what will likely happen with a hyaluronic injection is that it will just build a lump under the scar and lift the whole area. This is different than what you need, a smoothing of the edges of the scar and new collagen underneath. We would use the Sciton Profractional resurfacing device and likely treat it three times in a row, once per month.

Naveen Somia, MBBS, PhD, FRACS · Answer

You need to induce dermal collagen production to 'plump' up the thinned and scarred dermis. The best results are a combination of Fractionated Resurfacing, Fillers to fill the depression and Dermaroller or Dermapen to induce collagen production. You need to see a specialist

Rutledge Forney, MD · Answer

SInce you had chicken pox within the the last six months and the marks are on your face, fillers may be a good short term option for you. The skin remodels for several years after an injury and the face is particularly forgiving. Thank goodness since so many skin cancers occur on the face. Hyaluronic acid fillers have been proven to stimulate collagen regrowth and they wil certainly reduce the look of the scars. I agree that fractionated resurfacing is the gold standard for old scars but, in this setting, you may get some instant improvement while your skin continues to improve.

Can Hyaluronic Acid Treatment Help Me with my Chickenpox Scars (They're Not Very Deep)? (photo)

Answers (4)

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