Filler or laser for hypertrophic scar? Artefill or Radiesse or some CO2 fractional laser to treat indented scar? (photos)

Thank you for your inquiry. For a relatively shallow scar like yours, you could certainly minimize or even eliminate the appearance without surgical excision. At our office, we offer microneedling with PRP, which is a minimally-invasive procedure that works with the body’s own healing process to smooth out minor imperfections like scarring. To further enhance your results, we can add injections of dermal fillers, which plump and smooth out the skin from the inside out. While the results of these treatments are temporary, they can last for many months before another treatment is needed. Of course, the best solution for you is to see an experienced plastic surgeon that offers a variety of treatments that can be customized to your precise situation. After a personal assessment, this professional will be able to recommend the best treatment option for you.

Looking at the photos, it's relatively well healed scar considering I see a full spectrum of different scars.  The redness can be improved with lasers.  Laser however can cause light induced hyper pigmentation so get treated by an expert as it can be a double edged sword.  Recently, micro needling with Radiofrequency (i.e. Infini) has become very effective in treating scars, and I would look into it as it is minimally invasive and often gives results much better than expected.  As there is no raised component of the scar, cortisteroid injection would not be indicated here.  Hope this helps.

Yes, a combination approach will give the most improvement for this type of scarring. This scar can be improved with a combination of lasers (Fraxel, Yellow, Co2), microneedling/prp, subcision and fillers. I recommend getting a formal evaluation with a scarring expert.  See an expert. Best, Dr. Emer