Will CO2 Laser be useful for my chicken pox scar removal treatment? (Photos)

Question

hello, I hope everyone is okay. I just have a question. I suffered from chicken pox in 2019, mistakenly I took the scab off from my forehead and ow I have three pitted scars on my forehead! Will CO2 be useful? Any suggestions and recommendations? Please? I'm very much annoyed by all this... world has progressed so much but there is no permanent solution for chicken pox scars!

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Christopher W. Robb, MD, PhD · Answer

Yes a fractionated ablative laser like CO2 can help chicken pox scars after several treatments.   Usually 2-3 treatments are recommended.   An erbium laser like ProFractional would be best however due to less side effects with treatment.   Erbium is less likely for pigment change post treatment.   Subcision is a great option as well.

Jason Emer, MD · Answer

fillers and sucbsion are needed or punch excisions. lasers help but not as much and can be used in combination with fillers. Prior to lasers at home you should do cosmelan peel to prepare and dermarolling (see link to emeragecosmetics.com)
Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we already pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments.  Best, Dr. Emer.

Will CO2 Laser be useful for my chicken pox scar removal treatment? (Photos)

Answers (3)

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