How do I get rid of this chicken pox scar? (photos)

Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne 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 acne 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 acne scars and indented acne 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 been 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 laser 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 acne 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

A scar treatment plan can include utilizing both lasers to address the pigmentation whether it be red, brown,  purple, textured, (raised or depressed) or wide and dermal fillers. Fillers can be used to fill in any indentation or atrophy the scar may have left behind. Bellafill ® is a great permanent collagen inducing filler that is FDA approved and I have had results making at least guys almost invisible. However, 1 to 3 treatments may be necessary over the course of 6 -12 months.

A combination approach is best to improve chicken pox scars. I recommend a combination of lasers, microneedling/prp, subcision and fillers. I suggest seeing a facial scarring expert for a formal evaluation. Best, Dr. Emer

Thank you for your photos. Older scars can be stubborn to treat. It appears that you have a round-shaped wide depressed scar. Non-surgical options include microneedling with or without PRP, fractionated laser, and radiofrequency to stimulate your body to remodel and fill in the scar with new collagen. You can also have a subcision with filler placement to help release and lift the scar. With non-surgical options, it is difficult to completely erase the scar. The goal is to make it less noticeable. I do agree that you may prefer to just trade in the circular scar for a single vertical line between your eyebrows which tends to hide well since most people make lines there with facial expressions. For the best treatment options, it is important to visit an expert for an in-person examination. Best of luck!Johnson C. Lee, MD Plastic Surgery