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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
This can be improved with a combination approach. I recommend lasers, microneedling/PRP, subcision and fillers. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer
Dear purpleshake,based on your photos, you might need a scar revision in order to get better looking scar. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
It is most important to wait for the infection to have cleared and the inflammation to have subsided for several weeks before attempting to revise the scar. The scar can be excised in an in-office procedure and closed into a thin discrete line. Non-surgical options include lasers and microneedling, however it may take several treatments to see improvement due to the depth of the scar. Hope this helps!Johnson C. Lee, MD Board-Certified Plastic Surgeon@drjohnsonlee
