Best way to heal this indentation from chin fat transfer 10 months ago? Time or Laser? (Photos)

Question

I’d like some advice. I have indentations from a scar or fibrosis due to fat transfer to my chin 10 months ago. It started as a large scab for about 2 months, then healed into the current indentations. The plastic surgeon had PRP injected once in the area of the scab and did micro-needling with PRP all over my face the second time. After the scab fell off, I had another PRP injection in the area. Since then, I've been using scar tape and scar gel Biocorneum. The area has improved over time. I’ve also heard retinol or tretinoin might help and lasers. A dermatologist mentioned CO2 laser and VBeam yet I don’t know much about it nor if it’s worth. Any advice?

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

Best way to heal this indentation from chin fat transfer 10 months ago? Time or Laser? (Photos)

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Best way to heal this indentation from chin fat transfer 10 months ago? Time or Laser? (Photos)

Answers (1)

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Recommended reading

Everything you need to know about Laser Scar Removal

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