Why do I have pitted scar after surgical mole excision? (Photo)

Question

I had surgical mole excision five months ago. Seven moles were excised, one was shaved. Two of the moles on my face have become pitted. TWhat could be the reason for this? The other one on the face is not pitted. The sutures on the face were removed after five days.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis.  We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. 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 discuss the best treatment options for your type of skin. .

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Pitted scars, also known as atrophic scars, can occur after surgical mole excision due to a few potential reasons:

Depth of Excision: If the mole was excised deeply to ensure complete removal, it might have affected the underlying tissue, leading to a depression in the skin as it heals.

Healing Process: Individual healing responses vary. Some people may develop pitted scars due to a lack of collagen production during the healing process, which is essential for rebuilding the skin's structure.

Suture Technique and Timing: While you mentioned the sutures were removed after five days, the technique used and how the skin was closed can also influence scar formation. If the wound edges were not perfectly aligned or if there was tension on the wound, it might result in a pitted appearance.

Location and Skin Type: Facial skin is delicate and may react differently compared to other areas. Additionally, factors like skin type and genetic predisposition can influence scar formation.

Infection or Inflammation: Any infection or significant inflammation during the healing process can also contribute to abnormal scar formation.

To improve the appearance of pitted scars, treatments such as laser therapy, microneedling, or dermal fillers might be considered. Consulting with a dermatologist or a plastic surgeon can provide you with options tailored to your specific situation.

Why do I have pitted scar after surgical mole excision? (Photo)

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Why do I have pitted scar after surgical mole excision? (Photo)

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