I've had extreme chicken pox scars for over 20 years. What treatment would you recommend? (photo)

I've had extreme chicken pox scars for over 20 years. I want to see what my options are for these large crater ones on my forehead. I've had several consults with suggestions to do erbium laser, fraxel duo, silicone injections etc. I am medium complexion (caucasian & african american) so I'm afraid of scarring/ hyperpigmentation. Has any Dr successfully treated such scars or any patients had great results from treatments? Open to any treatment/combination/time length of treatment/cost. Thanks!

Doctor Answers 1

Treatment of chicken pox scars

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The problem with chicken pox scars is that they create a depression, so with different lighting they can be fairly visible due to the contour.  With your background, laser resurfacing or dermabrasion may --as you know-- result in pigmentation problems, either hypo- or hyper-pigmentation.  This can be unpredictable.

I might suggest excising them and closing them with fine sutures.  You would be trading a pox mark for a scar, but thick scars are very unusual in the mid-forehead.  The advantage would be that the contour would be smooth, so much less noticeable, and no shadow effect.  A fine line scar is much more easily hidden with makeup.  

You might ask your surgeon about excising one of the smaller areas and see what you think. 

Those are my thoughts.  Good luck!

Modesto Plastic Surgeon

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