What can clean out gravel or dirt from wound on forehead? (photos)

Question

4 month old indented. Scar. Is somewhat slowly healing and most Drs say not to excise however last Dr said there is some remaining dirt or gravel which I always thought Also . He wants to clean the gravel and stitch the wound ER Dr was awful and refused to clean or irrigate the wound Question—-Will any non surgical modalities help exfoliate any dirt or gravel to help wound healing instead of cutting ?———note I won’t do co2

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

Connie Hiers, MD, FACS · Answer

Gravel and dirt are foreign bodies which may need to be excised. However, dermabrasion, not micro-needling, could also work well if not too deep.  This is always best done at the initial treatment to remove and clean the wound.

What can clean out gravel or dirt from wound on forehead? (photos)

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