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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
"It's difficult to determine the best solution for you without the benefit of a formal evaluation. Generally speaking, scars can be improved with a combination of surgery and/or lasers and microneedling with PRP. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. Options can include:1. Vascular lasers (BBL, Yellow laser, V-Beam, Excel V) 2. Fractional lasers (Fraxel, Erbium, CO2, Halo) 3. Microneedling/PRP 4. Silicone-based scar gels with growth factors 5. Excision/revision surgery See an expert to develop a treatment plan that works for you. Best, Dr. Emer"
Your eyes are properly spaced. The first thing I see is that you have ptosis (droop). In other words, the upper lids are too low. See a plastic or ophthalmic plastic surgeon who is experienced in treating this. See the last example in the attached web reference.
Yes you are likely candidate for upper blepharoplasty. It is important to have personal evaluation to determine realistic results and see an expert for safe, natural results.
You have lower lid retraction on your left lower eyelid. This can be secondary to scarring from your previous surgery. The lid position can be improved with surgery. Best to see an eyelid expert in your area.
