Indented Vertical and Blackhead Extractor Scar!

Question

An aesthetician removed blackheads with an extractor. My first time. It left 1 scar in the shape of the extractor (the impression is intented in my nose). There are other vertical indendation from her using her fingernails with tissues. It's been 2 months. I also have about 30 tiny broken capillaries. I have before and after photos. They weren't there before. What's the best solution for the indented scars? Will it resolve on it's own? What about the caps? What home care should I try

Brian S. Biesman, MD · Answer

I am sorry to hear that you developed depressed scars and "broken capillaries" after some facial treatments. In many cases the depressed scars you are describing improve without additional treatment. This process can take many months so being patient is your best bet now. The fine blood vessels you are describing most likely will not improve without additional treatment, Fortunately these vessels typically respond beautifully to laser treatment if it is performed by an experienced surgeon using appropriate technology.

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

Vivek Bansal, MD · Answer

See a Board Certified Plastic Surgeon or Board Certified Dermatologist and they can give you some options on what you can do. This can be treated by laser if need. The areas may resolve on their own, but they may need more assistance.

Indented Vertical and Blackhead Extractor Scar!

Answers (3)