Can you help - laser to remove thread veins on nose causes significant indentations (Photos)

Question

I went to a med spa to have red thread veins removed from each side of my nose. The first 3 monthly sessions occurred without incident. On the 4th and final procedure I felt pressure in 3 spots. Within a couple of weeks I had 3 significant indentations on my nose. The doctor/owners have been less than no help. Can someone please advise?

Harold J. Kaplan, MD · Answer

Hello G.  Very sorry to hear about your situation.  In your case, we would likely attempt TCA (trichloracetic acid) treatment.  We use this for ice pick or small indented acne scars.  Your scars may be too wide for this so another alternative is a possible punch excision.  What you very much need is a deep expert in acne scar revision, likely a dermatologic surgeon that specializes in acne scars.  If you are in NYC, this should be possible to find.  Look for before and after photos that look like yours and search for TCA and punch excision.  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

Can you help - laser to remove thread veins on nose causes significant indentations (Photos)

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Can you help - laser to remove thread veins on nose causes significant indentations (Photos)

Answers (2)

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Recommended reading

Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.