Recommendation needed - how can these scars be removed from my face? (Photo)

Question

I have these scars on my face an want them gone. What procedures would help?

J. Timothy Katzen, MD, FACS · Answer

Hi. Thank you for your question about scars on your face and how to get rid of them. My recommendation for getting rid of scars on the face is either microneedling (with or without PRP). Microneedling creates tiny micro-injuries into the skin, which helps bring attention to the area. This causes collagen synthesis and growth factors to enter the area and ultimately fill these scars. I would suggest a minimum of 3 treatments, 4-6 weeks apart. At that point, your practitioner can assess whether or not you need further sessions.

There is very minimal downtime with microneedling. After microneedling, you will be red for about 1-3 days. You will have to keep your face protected from the sun.

I hope this helps!

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

Leonora Ogbeide, MD · Answer

Hello!It appears that these are atrophic scars on the cheeks and a few hyperpigmented scars on the chin area. These could be treated with a combination of a few different treatments such as microneedling or RF microneedling, chemical peels, or laser skin rejuvenation. Some scar subcison may be needed for the deeper scars to get the best results.

Nelson Lee Novick, MD · Answer

Microneedling, even professionally performed microneedling, which I have been doing for well over two decades, is best reserived for the treatment of superficial, surface irregularities in skin color and texture; it is less helpful for treating fully developed scars, such as ice pick scars. TCA CROSS, which I have been using for a similar length of time, is better suited to this purpose. It is a relatively inexpensive technique, can be used for all skin types, and engenders little to no significant downtime. You would be wise to consult a board certified cosmetic dermatologist. Best of luck.

Viktoryia Kazlouskaya, MD · Answer

TCA peel with resurfacing (microneedling or laser) will be the best combination. Several sessions are likely to be needed. Best of luck, Dr. K

Recommendation needed - how can these scars be removed from my face? (Photo)

Answers (7)

Answer: TCA CROSS Works Well For Treating Ice Pick Scars

Answer: TCA CROSS Works Well For Treating Ice Pick Scars

Answer: TCA+resurfacing

Answer: TCA+resurfacing

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Everything you need to know about Microneedling

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Recommendation needed - how can these scars be removed from my face? (Photo)

Answers (7)

Answer: TCA CROSS Works Well For Treating Ice Pick Scars

Answer: TCA CROSS Works Well For Treating Ice Pick Scars

Answer: TCA+resurfacing

Answer: TCA+resurfacing

Browse related questions

Recommended reading

Everything you need to know about Microneedling

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