What is the best way to fix a hole in my face with minimal scarring? (Photo)

Question

A few months ago i noticed a hole in my face (see pic) it looks quite deep what is the best way to fix it with minimal scarring?

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

Harold J. Kaplan, MD · Answer

Hello Jr.  For pinpoint or icepick acne scars like the one you show in the photo, punch excision or TCA cross are excellent options.  Punch excision is more of a surgical procedure, whereas TCA cross is a really quick, acid drop that can close off the hole.  We would recommend TCA first.  Best of luck.

Nelson Lee Novick, MD · Answer

You would be wise to seek out a board certified cosmetic dermatologist with experience and expertise in performing TCA CROSS. This simple, relatively inexpensive technique is indicated for closing very narrow scars, like ice pick scars and piercing holes, dilated pores, etc. Surgical approaches run the risk for the development of stretch scars and tram track stitch marks in areas subject to static tension or movement. Make sure to consult with an experienced, board certified cosmetic dermatologist and best of luck.

What is the best way to fix a hole in my face with minimal scarring? (Photo)

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What is the best way to fix a hole in my face with minimal scarring? (Photo)

Answers (3)

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