TCA Peel recommended to remove/fade away old self harm scars? (photo)

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

There are no good long term treatment options for these.  Fractional lasers and microneedling help after they are improved medical tattooing is the best alternative option.  Best, Dr. Emer.

Like many other Specialist on this forum I do agree that these types of scars are one of the hardest to treat. Do not attempt TCA peel - it will result in a raised scar that will take weeks to heal. Fractional lasers, RF Microneedling with or without PRP etc..etc..etc.. can all help but the improvement is minimal. IF you can feel the scars, I often use dilute steroid injections, however my advice is cosmetic tattooing. If these scars are new (red), I treat them with a vascular laser such as V BEAM. Old scars are white in colour and very difficult to improve. An experienced cosmetic tattooist would always go one shade lighter than the surrounding skin, knowing very well the appearance of self harm scars will change with tanning. All the best,Dr Davin Lim Laser and aesthetic dermatologistBrisbane, Australia.