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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. KaramanoukianRealself100 Surgeon
Thank you for your question. When a mole is removed—especially from delicate or high-visibility areas like the nose—it can sometimes leave behind a dent, depression, or contour irregularity, depending on the depth of removal and the healing process.Why Does the Dent Occur?The skin on the nose is thin and tightly adherent to the underlying structures, meaning there’s little subcutaneous fat to cushion the area.If the mole extended deep into the dermis or if tissue was excised down to a deeper layer, this can result in volume loss that heals as a slight indentation.Can It Be Filled?Yes, in most cases, a post-removal dent can be improved with minimally invasive treatments. The best options include:1. Dermal Fillers (e.g., Hyaluronic Acid)These can be injected to smooth out the depression and restore contour.Results are immediate, though temporary (lasting several months to a year depending on the product).Ideal for shallow to moderate indentations.2. Microneedling or Fractional Laser ResurfacingThese treatments stimulate collagen remodeling and can improve the appearance of texture irregularities or mild dents over time.Best for superficial to moderate skin irregularities, rather than deeper volume loss.3. Fat Grafting (in select cases)For deeper or more permanent correction, autologous fat transfer can be used to add volume, though this is typically reserved for more noticeable defects.4. Scar Revision SurgeryIf the dent is associated with a visible scar or tethered tissue, minor surgical revision may be considered to release the area and allow smoother healing.Final Thoughts:Yes, the dent can likely be improved—often with subtle, non-surgical options like fillers. The specific approach depends on the depth and character of the indentation, as well as your goals. It’s a common concern after mole removal, especially on the nose, and often very treatable.