3 weeks after subcision and filler for nose scar from chicken pox, no improvement. What are my next steps? (photo)

Question

I had subcision done along with a filler 3 weeks ago. This scar is now 4 months old. I don't see any improvement in it. Should i opt for multiple treatments of subcision with filler for this scar. I'm very upset as i put my money and time in it. What should my next steps be? I'm in need of your expert opinion.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Gul A. Zikria, MD · Answer

Can get improve with Bellafill filler which  last 5 year plus or fat from your body mix with Rich plasma from your blood.  We do both.

Lawrence Janowski, MD · Answer

These scars can be very challenging.  You could try Bellafill injection, or possibly erbium laser resurfacing.  Bellafill can build collagen into the scar, but should be used with caution in this area due to the presence of important blood vessels in the nasal tip.

3 weeks after subcision and filler for nose scar from chicken pox, no improvement. What are my next steps? (photo)

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