Fibrosis on chin from staph. How can this be improved? (Photo)

Question

2.5 yrs since staph inf left hard fibrosis under the skin on left side of chin. Crescent shape in picture. Had a few Kenalog injections, but it’s still hard and skews my chin to left, esp. obvious on video. Some Dr.’s are hesitant to keep going with Kenalog. Massage recommended but just my fingers don’t soften anything. I got these stainless steel tools (marketed for “acupuncture”) b/c they seem like the right size and shape to get in there. But nervous I’ll create a callous under chin skin.

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Fibrosis on chin from staph. How can this be improved? (Photo)

Answers (2)

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