Microneedling and LaseMD for breast lift scars? (Photo)

Question

Hello! I had a breast lift revision 2 months ago and I’m looking for scar treatment help. 1.5 years after my first surgery, i still Had noticible brown scarring (first pic vs revision in second)This time around i want to be proactive, my esthetician suggested a combo of microneedling and LaseMD (one per month). Any risks associated with this? Any thing to be aware of? I read Somewhere lasers are not cleared for around the areola area but not sure if that’s accurate?

Randal Haworth, MD, FACS · Answer

Congratulations on your breast lift revision! When considering scar treatment options like microneedling and laser therapy, it's important to be informed and consult with your healthcare provider. Here are some considerations:

1. **Microneedling and LaseMD:**
   - Both microneedling and laser treatments can help improve the appearance of scars by promoting collagen production and skin renewal.
   - Risks: While these treatments are generally safe, there are potential risks such as temporary redness, swelling, or changes in pigmentation. Discuss your medical history and any concerns with your provider.

2. **Around the Areola Area:**
   - The safety of laser treatments around the areola may vary. Some lasers may not be cleared for use in certain areas. Consult with your surgeon to confirm the suitability of LaseMD for your specific case.

3. **Postoperative Care:**
   - Follow your surgeon's postoperative care instructions diligently. Ensure that any treatment is coordinated with your overall recovery plan.

4. **Sun Protection:**
   - Protect your scars from sun exposure. Sunscreen and sun-protective clothing can help prevent pigmentation changes.

5. **Expectations:**
   - Understand that scar improvement is a gradual process. Results may vary, and multiple sessions may be needed.

Best of luck !

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

Microneedling and LaseMD for breast lift scars? (Photo)

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Microneedling and LaseMD for breast lift scars? (Photo)

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