I have had an indented scar on my leg most of my adult life, can this scar be removed? I am from a west indian island and the scar was caused by a scratch that got infected and was not treated properly back then.
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Doctor Answers 6
Repair of an indented scar on the leg or body in Los Angeles
Subcision and/or scar excision with layered closure are both options to improve an indented scar on the leg or body.
Raffy Karamanoukian, Los Angeles
Treating Dented Scars
In the past, if a person had a depressed (dented, or indented) scar there were only two approaches to dealing with it. One was to live with it, and the other to surgically excise the scar and revise it. The hopes here would be that the resulting scar would be less obvious than its predecessor.
Today, several additional, much less aggressive, approaches are available for treating scars that may have arisen from accidents, surgery, or infection. One method, known as dermaspacing, involves the insertion of a sterile needle-like cutting device below the scar to break up the thick bands of fibrotic collagen pulling the skin downward. In addition to releasing the skin above, this technique stimulates the production of new and healthier collagen to provide further support and lift. Generally a series of one to four treatments at six week intervals are needed for optimum improvement.
A second technique, medical microneedling or microchanneling, employs a roller to which rows of microneedles are attached. The microchannels created within the scar as the roller passes back and forth sets up a wound healing process that can result in new collagen production and improved appearance of the scar. Again, a series of one to four treatments may be needed at six week intervals.
Both dermaspacing and microchanelling take only minutes to perform under local.
If additional improvement is desired after either of the above, I have found that the injection of a small amount of a volumizing agent, such as Radiesse or Perlane Ultra XC, may contribute to further smoothing and leveling of the surface of the scar.
Depressed Scar Treatment
Depressed or indented scars can be improved by various techniques. The scar may be revised with plastic surgery to remove or reposition the scar. Volume can be added to the skin with fat grafting to plump the depressed or indented areas. As plastic surgeons have already stated, scars can never be completely eliminated. Speak with a plastic surgeon to help determine appropriate options for you.
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I would not recommend any treatment unless you can live with a poor result. The risks are high. Be careful out there.
Correcting Indented Scar
No scar can be erased but the odds are that with a well-done scar revision your scar can be transformed into a much less obvious flat scar.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.