Ultrasound therapy for breaking down scar tissue?

Question

I have a scarred mentalis muscle that wrinkles upon contracture. Ultrasound therapy was indicated to me to help break down the scar tissue and improve the appearance, but I also see things about ultrasound treatments INCREASING collagen. I'm so confused about this treatment and its effectiveness. Please advise.

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

Stephen Mandy, MD · Answer

Ultra sound does in fact increase collagen when it heats the skin between 42 and 50 degrees Centigrade, but it will break down collagen when used in the manner that it is in physical therapy where very little heat is created.  Most of the US machines in the offices of Dermatologists and Plastic Surgeons are designed to increase collagen.  Your problem sounds like it would be better managed by injection with Botox.

Darryl J. Blinski, MD · Answer

There are different US units to treat different issues. Best to seek a few in person opinions. Than try to understand the issues to help you.

Ultrasound therapy for breaking down scar tissue?

Answers (3)

Recommended reading

Everything you need to know about Scar Removal

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

Ultrasound therapy for breaking down scar tissue?

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Scar Removal

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