What's the best removal method for raised scar after blister popped? (Photos)

Question

Had a dental accident (blister popped and turned into a scar).This was ten years ago. It’s slightly raised. What’s the best removal method?

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

Anna Chacon, MD, FAAD · Answer

I can suggest some general options often utilized for scar removal. However, you should always consult with a healthcare professional for personalized advice. Scar removal methods can include:

1. Surgical Removal: A plastic surgeon can excise the scar and close the wound in a way that should promote better healing. This is usually considered for larger, more noticeable scars.

2. Laser Treatment: This is a non-invasive method that uses focused light technology to either remove the outer layer of skin or stimulate new skin cells to cover damaged skin cells.

3. Dermabrasion: This procedure involves the removal of the surface of the skin with special equipment, and is typically used for raised scars.

4. Topical Treatments: These include gels, tapes, or external compression that can help to reduce the size of the scar.

5. Steroid Injections: These can help to flatten the scar, but repeated treatments may be necessary.

6. Cryotherapy: This involves freezing the scar with liquid nitrogen, which can flatten the scar and reduce redness.

Remember, the best removal method will depend on the size, location, and characteristics of the scar, as well as your personal health history. It's important to consult with a dermatologist or a plastic surgeon to discuss these options.

Nelson Lee Novick, MD · Answer

At least from the photo provided, the scar appears to be a hypertrophic scar. If so, then the simple treatment of choice would be intraslesional injection of an anti-inflammatory agent to shrink and flatten it. You would be wise to consult an experienced, board certified cosmetic dermatologist. Best of luck.

What's the best removal method for raised scar after blister popped? (Photos)

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What's the best removal method for raised scar after blister popped? (Photos)

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