Scar revision on chin - advice needed desperately (Photo)

Question

Hi all I am wanting to get this Skin cancer scar revised it stretched and is indented BUT as the chin is high movement, I am so concerned this will just stretch out again - any advice truly appreciated

Jeff Rapaport, MD · Answer

Initially, I would recommend botox to immobilize the scar.  This can be followed by subsision with PRP and micro needle radio frequency. As a final stage if needed, filler can be added. Find a scar expert.
Jeff Rapaport MD FAAD 
Realself Hall of Fame

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

It's difficult to determine the best solution for you without the benefit of a formal evaluation. Generally speaking, scars can be improved with a combination of surgery and/or lasers and microneedling with PRP. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. 
Options can include:
1. Vascular lasers (BBL, Yellow laser, V-Beam, Excel V) 
2. Fractional lasers (Fraxel, Erbium, CO2, Halo) 
3. Microneedling/PRP 
4. Silicone-based scar gels with growth factors 
5. Excision/revision surgery 
See an expert to develop a treatment plan that works for you. Best, Dr. Emer​

Daniel Barrett, MD · Answer

Dear Honest9188,
it is hard to tell for sure without an examination. Based on your photo, it looks like you would benefit from subcision and dermal fillers. If you are considering procedure, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Lee Novick, MD · Answer

The concern about a repeat stretch scar and even the development of tram track stitch marks is particularly valid in areas subject to muscular tension or movement. Subcision can be used to elevate and smooth the base of the scar and can be followed by professional microneedling (no need for more expensive RF microneedling) accompanied by the application of prescription strength pigment enhancers, such as topical tyrosine and lanatoprost, to better blend the treated areas in color and texture with the surrounding normal skin. Make sure to consult a board certified cosmetic dermatologist and best of luck.

Scar revision on chin - advice needed desperately (Photo)

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