What Should Mohs Surgery Scar on Your Chin Look Like 1 Year After Having Plastic Surgery?

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

The appearance of a scar will depend on how the incision was re-approximated, the orientation of the scar with relation to relaxed skin tension lines, the quality of the skin (very sebaceous skin heals less favorably), the degree of sun exposure to name a few variables.  As other posters have noted, there is no simple answer without a picture. However, at 1 year, the scar is probably not going to change or improve to any significant degree.

There is no one right answer to your question as there are many different scars related to the type of skin and its texture of the patient undergoing surgery. Some people are prone to darkening of their pigment after surgery and others develop red blood vessels around the scar. Some can get overhealing where collagen of their body continues to be produced and deposited in the scar excessively which produces a raised, sometimes painful, scar which may be a hypertrophic scar or keloid. Some people's scars spread, possibly related to an inborn error of collagen  and some become inverted as a groove.  The scar may have a different shape depending on the shape, depth and diameter of the wound and its relationship to the location of cosmetic structures such as the lip and jaw. The scar may be a line, curve, zig-zag, L-shaped, T-shaped, S-shaped, Z-shaped, H-shaped and other unusual patterns are needed as well. The scar will usually be red for many months. Ultimately, after about 18 months, the body produces maximum maturity of the scar and in the best scenario, it becomes smoother, flatter, and a thin white line. Unsightly scars can be treated, often by Fraxel laser for resurfacing, massage, dressings, V-beam laser for long-standing redness so contact your doctor if you are unhappy.