Hello, I’m 10 months post op from an alarplasty and a modified lip lift that made incisions higher up, but the scarring has been horrendous and quite distressing to me. I’ve used silicone gel, light scar massaging, several steroid injections, and two IPL sessions. But it still looks so bad. What should I do because I really need help.
Answer: CONSIDER TCA CROSS FOR ICE PICK TYPE SCARS & APPROPRIATE INTRALESIONAL ANTI-INFLAMMATORY INJECTIONS FOR ELEVATED SCARS At least from the photos provided, your right side appears very much like a string of ice pick-type scars encircling the ala, and your left side a continuous, elevated linear hypertrophic scar encircling the ala.
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Answer: CONSIDER TCA CROSS FOR ICE PICK TYPE SCARS & APPROPRIATE INTRALESIONAL ANTI-INFLAMMATORY INJECTIONS FOR ELEVATED SCARS At least from the photos provided, your right side appears very much like a string of ice pick-type scars encircling the ala, and your left side a continuous, elevated linear hypertrophic scar encircling the ala.
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Answer: A revision can be done as well as injection therapy to help bring down raised scar. Vbeam and a resurfacing laser can also help 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.
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Answer: A revision can be done as well as injection therapy to help bring down raised scar. Vbeam and a resurfacing laser can also help 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.
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May 15, 2025
Answer: Options for Improving Post-Operative Scarring from Alarplasty and Lip Lift I'm sorry to hear about your distressing experience with scarring following alarplasty and a modified lip lift. At 10 months post-op, it's understandable that you want to see improvements. Here are some additional options you might consider exploring:
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May 15, 2025
Answer: Options for Improving Post-Operative Scarring from Alarplasty and Lip Lift I'm sorry to hear about your distressing experience with scarring following alarplasty and a modified lip lift. At 10 months post-op, it's understandable that you want to see improvements. Here are some additional options you might consider exploring:
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May 15, 2025
Answer: CO2 Laser Resurfacing Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. I'm really sorry you're going through this—scarring, especially on the face, can be incredibly distressing both emotionally and physically. Given that you're 10 months post-op and have already tried a comprehensive range of treatments including silicone gel, massage, steroid injections, and IPL with limited improvement, I recommend considering CO2 laser resurfacing as a next step. CO2 laser is one of the most effective treatments for improving the texture, color, and overall appearance of surgical scars, particularly when they are raised, thickened, or red. It works by removing damaged skin layers and stimulating collagen remodeling, which can significantly smooth and soften the appearance of scar tissue. Multiple sessions may be needed, and downtime is expected, but many patients find it well worth the investment for long-term results. I hope this helps and best of luck!
Helpful 1 person found this helpful
May 15, 2025
Answer: CO2 Laser Resurfacing Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. I'm really sorry you're going through this—scarring, especially on the face, can be incredibly distressing both emotionally and physically. Given that you're 10 months post-op and have already tried a comprehensive range of treatments including silicone gel, massage, steroid injections, and IPL with limited improvement, I recommend considering CO2 laser resurfacing as a next step. CO2 laser is one of the most effective treatments for improving the texture, color, and overall appearance of surgical scars, particularly when they are raised, thickened, or red. It works by removing damaged skin layers and stimulating collagen remodeling, which can significantly smooth and soften the appearance of scar tissue. Multiple sessions may be needed, and downtime is expected, but many patients find it well worth the investment for long-term results. I hope this helps and best of luck!
Helpful 1 person found this helpful
