What are my options for cheek piercing scars? (photo)

Question

Hello everyone, I have had my piercings for about 5 years now and I need to take them out before I leave for a work trip to a culturally sensitive region. I welcome any suggestions on the type of incisions, timeline, cost, etc. If it helps, I am 25, female and African American.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Benjamin C. Paul, MD · Answer

Thanks for posting your question and picture. To fix your cheek piercing scars, you will likely need to have the depression excised. There is a special circular punch which can remove the scar and depression. The edges are brought together with a stitch. This will lead to a small incision line that fades over time. It would be a great improvement for you.

Best of luck from Manhattan.

Best of luck from Manhattan.

Darryl J. Blinski, MD · Answer

ONLY direct excision of external depression with possible scar could give you a flatter result...////

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