Which procedure would completely remove scars on my face?

Question

I have some pretty tiny scars in my face and in certain light conditions you can see them pretty clearly. How do I get those scars removed?

Raffy Karamanoukian, MD, FACS · Answer

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

Nelson Lee Novick, MD · Answer

Really sorry, but it is very difficult to discern precisely from the photo the nature of the scars. If they are ice pick scars or dilated pores, then TCA CROSS would be an excellent treatment modality. I have been using this relatively inexpensive approach for these problems for nearly a quarter of a century with very gratffying results. You would be wise to consult with a board certified cosmetic dermatologist scar specialist and best of luck.

Tek Przylecki, MD, FACS · Answer

Thank you for your inquiry. Unfortunately, a way to completely remove scars does not yet exist. As plastic surgeons we have ways to make scars potentially heal better through good technique and tissue handling, and can make some scars appear less obvious or “hide them” by reorienting scars or changing their direction to heal more favorably. However, to date there is no treatment or technique to remove a scar once it exists. An evaluation by a board certified plastic surgeon can help guide you on your journey.

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Which procedure would completely remove scars on my face?

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