Face scar removal. What is a reasonable treatment option?

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. 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 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 scars and indented 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 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 lasers 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 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

Treatment options for facial scars can be both non-surgical and surgical, and the best choice often depends on the type, size, and location of the scar. Here are some possible options:

1. Topical Treatments: These include gels, tapes, or external compression that can help to heal scars. They are often used for hypertrophic scars.

2. Dermabrasion: This is a type of surgery that can help soften the surface of the skin and reduce the appearance of scars.

3. Laser Therapy: Laser treatments can help to reduce the redness of scars and smooth out their texture.

4. Fillers: These can be used to raise depressed scars to the level of the surrounding skin. However, they are often temporary and would need to be repeated.

5. Steroid Injections: These can help to flatten out raised scars and reduce their redness.

6. Surgery: In some cases, a scar may be reduced through surgical procedures that alter its size or orientation, or that bring the wound edges closer together.

7. Microneedling: This is a procedure that involves making tiny punctures in the skin around your scar to stimulate your body's natural healing process and collagen production.

8. Chemical Peels: These can help reduce the visibility of scars by removing the top layer of skin.

It's important to consult with a dermatologist or plastic surgeon to discuss these options and figure out the best treatment plan for your specific situation. These professionals will be able to assess your scars and suggest the most effective and reasonable treatments based on their knowledge and experience.

These scars would best be treated with ablative focused laser resurfacing with either erbium or CO2 LASER.