Lump under scar (face)? Could fractional laser help with this?

Question

Hi, I have two scar on my face from surgery 9 months ago that I'm happy with as they're both flat and white. However, one of the scar still has like a lump "under" the scar meaning it still feels hard. How can I get rid of this? I don't want to do surgery again since the scar itself looks really good. I won't take that risk. Could fractional laser help with this? Or will it go away with time (years?) ? It's not visible, but I can feel it. Thank you!

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

Yes, lumps and scarring can be treated treated with lasers, microneedling/prp, 5/FU steroids or surgically.  Please see an expert in scarring for a formal evaluation.  Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear user0007,
the lump is probably just a scar tissue around the suture. The body will probably dissolve it. You can try gentle massages but if you are satisfied with the appearance of the scars then you shouldn't be worried. 
Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Paul Carniol, MD · Answer

The treatment of scars varies depending on the scar.  This can best be determined by examining your scar.  Some thick scars will improve with injections and silicone gels applied to the surface.  Others may benefit from treatment with a vascular laser or with a fractional laser.  Some should have a scar revision procedure.
Other scars, such as depressed scars may be treated with injection of fillers or fat transfer.

John Louis Ratz, MD · Answer

If your only concern is the hardness of the scar, there is no need for any surgical treatment. Well placed interlesional injections of 20% Kenalog will soften the scar with only one to three sessions at 4-6 week intervals. If the steroid is injected under the area of firmness into the fat, a depression could result. Make sure your doctor understands that you know about this beforehand. Less than 20% Kenalog will probably be inadequate.

Lump under scar (face)? Could fractional laser help with this?

Answers (5)

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