Hello, what opportunities are there to improve the appearance of the depressed scar shown in the attachment? Is Excision a useful choice? What else could be done? Or am I better advised to leave it alone? Thank you for your afforts! Many greetings
August 15, 2011
Answer: Fixing a depressed scar
The main option for fixing your depressed scar would be a surgical revision, although a fractionated laser such as the Profractional laser or Fraxel would be reasonable to try if you were surgically averse.
Helpful 1 person found this helpful
August 15, 2011
Answer: Fixing a depressed scar
The main option for fixing your depressed scar would be a surgical revision, although a fractionated laser such as the Profractional laser or Fraxel would be reasonable to try if you were surgically averse.
Helpful 1 person found this helpful
July 25, 2011
Answer: How to improve a linear depressed lip scar
The best way to approach this is to do a very thin re-excision of the scar and bring the edges together appropriately and to make sure that there are internal sutures placed to remove any tension from the surface.
If the edges of the skin are brought together flat to each other, the end result is a depressed scar. If the edges are everted or turned out a small amount, that elevates the wound edges while healing and the scar normally heals flat with the skin.
The lips are a highly mobile area. In mobile areas scars tend to be more red and spread somewhat. So while the scar is healing (and a particularly vulnerable time is the first could of weeks after suture removal) I don't recommend biting into big pieces of food or any other activity that would stretch the skin of the lips.
The resultant scar will still be linear but it should be flush with the skin. If the results need to be improved after that, some dermabrasion or laser abrasion can be used.
On my photo gallery page there is an example of an excision of a large skin cancer on the hand with the proper approximation of the edges of the wound. The scar is almost invisible 2-3 weeks later.
Helpful 1 person found this helpful
July 25, 2011
Answer: How to improve a linear depressed lip scar
The best way to approach this is to do a very thin re-excision of the scar and bring the edges together appropriately and to make sure that there are internal sutures placed to remove any tension from the surface.
If the edges of the skin are brought together flat to each other, the end result is a depressed scar. If the edges are everted or turned out a small amount, that elevates the wound edges while healing and the scar normally heals flat with the skin.
The lips are a highly mobile area. In mobile areas scars tend to be more red and spread somewhat. So while the scar is healing (and a particularly vulnerable time is the first could of weeks after suture removal) I don't recommend biting into big pieces of food or any other activity that would stretch the skin of the lips.
The resultant scar will still be linear but it should be flush with the skin. If the results need to be improved after that, some dermabrasion or laser abrasion can be used.
On my photo gallery page there is an example of an excision of a large skin cancer on the hand with the proper approximation of the edges of the wound. The scar is almost invisible 2-3 weeks later.
Helpful 1 person found this helpful