Scar removal surgery. Is it going to be a bad idea?

Question

Hello..It's been 2 years my journey in trying to make my scars look better. I did a lot of things: microneedling, PRP, chemical peeling, steroid injections, erbium laser, venus viva laser, co2 laser, and picosure laser. I did each of them several times. It improves the scars but very very slowly. I'm planning to have scar excision, the one that is closed to my lips (circled in the photo) and "the bridge" in the nose. Is it going to be a bad idea? Any other ideas if so?

Raffy Karamanoukian, MD, FACS · Answer

Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or multiple, using a combination platform that includes lasers, RF, scar modulation, Parke-Davis Scar Protocols, and injection therapy. Some keloids will require surgical intervention as an initial step for treatment.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

Scars can be greatly improved with a combination of surgery and more non-invasive treatments (lasers, peels, microneedling/prp). Quality skincare products are very important (Sente Dermal Repair Cream and Silagen Gel are some great examples). I recommend getting a formal evaluation with a scarring expert to determine what is best for your specific case. I also offer complimentary skincare consultations regarding product recommendations. Best, Dr. Emer

Daniel Barrett, MD · Answer

Dear melgie79,
if non-surgical methods didn't provide you with enough improvement, then scar revision might be an option. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Regan Thomas, MD · Answer

Surgical excision can often be a useful for improving the appearance of facial scars.  Of course once you have a scar it is permanent and the goal is to IMPROVE the scar appearance.  Making a wide scar narrower, an elevated or depressed scar smoother, or at times changing the direction or configuration of the scar are all possible treatment goals. Check my website to see examples of these. Be sure to discuss the possible treatments in person with an experienced scar revision surgeon.  Good luck and best wishes to you as you pursue your treatments.

Scar removal surgery. Is it going to be a bad idea?

Answers (4)

Answer: Scar Revision

Answer: Scar Revision

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Everything you need to know about Scar Removal Surgery

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Scar removal surgery. Is it going to be a bad idea?

Answers (4)

Answer: Scar Revision

Answer: Scar Revision

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Recommended reading

Everything you need to know about Scar Removal Surgery

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