My scar feels empty underneath the skin after my Brazilian Butt Lift, is it possible to heal the scar? (photos)

Question

It’s been about 4 years now since I had my BBL and I still have these scars from the incisions. Recently got laser treatments/steroid injections that just made it worse and now my dermatologist wants to do picogenesis laser treatments. Before treatments, it was still pitted but it's definitely got more caved in and red after treatment. The pictures don't even show just how deep the scar feels. I’m starting to feel hopeless because it hasn’t improved. (White/Asian, 23 y/o female)

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

Jason Emer, MD · Answer

First step would be to allow this scar to completely heal before moving forward with any other procedures. This looks extremely sensitive and can become susceptible to infection. I recommend Silagen + Bioshield to promote healing. Any scarring can be improved with lasers and microneedling/prp. See an expert. Best, Dr. Emer

My scar feels empty underneath the skin after my Brazilian Butt Lift, is it possible to heal the scar? (photos)

Answers (2)

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