Would this be a pebblestone, papular, or hypertrophic scar? Bumps go away when skin is stretched. Getting mixed answers.(photos)

Question

I have gotten conflicting answers from derms on this. One has said they think it is not hypertrophic scarring because it is hard to see in certain lighting. Others have said it is. The closest thing I can find is pebblestone or papular scarring. It seems to have the same fleshy, soft texture that describes pebblestone scars but the shape is different. I also have never seen anyone with this type of scarring in the smile line area. The bumps go away if the skin is stretched.

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

Would this be a pebblestone, papular, or hypertrophic scar? Bumps go away when skin is stretched. Getting mixed answers.(photos)

Answers (1)