Scar removal treatment - post BBL surgery?? (photos)

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

Thank you for your query. Based on your photographs fractionated Co2 laser treatments can give you good results. Please discuss your concerns with your surgeon who can help you. All the best!

Unfortunately, from the photos provided it is difficult to precisely determine what kinds of scars are present. However, there are certain general rules that you may find helpful.

For elevated scars, such as hypertrophic or keoid scars, consider intralesional injections of an anti-inflammatory agent, such as triamcinolone to flatten them.

For indented scars, consider subcision to elevate and smooth them with or without the addition of an HA filler (which itself may enhance new collagen production).

For hypopigmented scars, consider professionally performed manual microneedling (no need the added risks and expense of RF microneedling) with addition of Rx topical pigment enhancers, such as tyrosine and latanoprost.

For hyperpigmented scars, consider professionally performed manual microneedling (again no need the added risks and expense of RF microneedling) with addition of Rx topical brightening agents, such as tranexamic or azelaic acid.

In my experience, silicone patches, gels and creams and other extracts have proven of little value and not worth either the expense or time.

And finally, be very cautious when being offered many of the expensive "bells and whistles" fraxel laser or RF treatments, as the hard science to back up their use lags well behind the heavy marketing and social media hype out there to promote them. What's more, aggressive lasers, such as the C02 laser, particularly in skin of color, besides typically engendering significant post-treatment downtime, poses a risk for skin dyspigmentation, particularly in skin of color.

Hope this guide helps and best of luck.