How do I treat a worsened chicken pox scar after punch excision?

Question

I got a 20-year-old chicken pox scar punched out, and sewed back together 5 months ago. So far I feel like the scar looks worse than before. My skin has sunken down, and the direction the scar was closed, has created a wrinkle in my skin. I also have a small bump sticking out of my skin, which I think is scar tissue. I feel very self-conscious about my new scar and unfortunately, regret the procedure. Is there anything I can do to improve the scar I have now?

Jason Emer, MD · Answer

That scar shouldn't have been punched out, anyone who does a significant amount of scar surgery know the scar would be 2-3 times the size after in a straight line.  With that said at this point you need lasers, subcision and fillers to improve it.  I suggest you see a laser and scarring expert.  Best, Dr. Emer.

Harold J. Kaplan, MD · Answer

Hi K. We likely would have suggested laser resurfacing before any excision and this is what we would suggest now.  Fractional laser resurfacing works best on new scars and can help soften the current edges you have on the scar.  If it does not result in enough improvement for you, adding a little filler later on may be an option as well.  To see scars treated with fractional resurfacing in our Los Angeles County office, click on the before and after pictures link below.

Parviz Goshtasby, MD, FACS · Answer

Hello 'kirakat', thanks for your question.  There are several options for scar therapy.  The initial management up to a full year is massage the scar, avoid sun exposure, biocorneum cream, chemical peels, and occasionally steroid injections if the scar is thick or raised.  The next option is CO2 laser skin resurfacing which can help with smoothing out the contour of the surface.  If those still do not work adequately, then formal scar excision with closure would be recommended.  This will lead to a longer straight scar, but the goal would be to close it along a relaxed tension (Langers) line so that it heals flatter and smoother.  This would be perpendicular to the orientation that it was closed in my opinion.  Always consult a board-certified plastic surgeon and let me know if any questions.  Good luck!-Dr.92660

How do I treat a worsened chicken pox scar after punch excision?

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How do I treat a worsened chicken pox scar after punch excision?

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Everything you need to know about Punch Excision

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