Does cupping therapy work on Hypertrophic scar and atrophic scars and is it safe for these scar? (Photos)

Question

8 months back due to TCA peel i have Hypertrophic scar, few atrophic scars at side head. many doctors told to use steroid cream (Mometasone 0.1%, Betamethasone Valerate 0.10%, Fluticasone Propionate 0.005 %, Hydrocortisone 0.5%). from past 7 months i have tried all but none of them worked. I don't want to go for laser or steroid injection. if i use mild air compression to make blood come on top layer using cupping therapy then does this reduce these scar or rather it will stimulate them

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

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  I am sorry to hear about this.   The
best advice you can receive is from an in-person consultation.  Based on
your photographs, I would recommend laser treatment.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Michele S. Green, MD · Answer

Cupping will have little or no effect on these types of scars.  I am sorry for these scars.  The only course of treatment that would help would be a combination of V-Beam and intralesional cortisone injections.  Please consult an expert in scars and lasers for the best treatment.  Best, Dr. Green

Does cupping therapy work on Hypertrophic scar and atrophic scars and is it safe for these scar? (Photos)

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