Can I get subcision for my old chicken pox scar? (Photo)

Question

Hello, I am a 23 year old woman that has a chicken pox scar on my forehead. I want to get a subscision for it but I want an estimated price. I live in Canada.

Raffy Karamanoukian, MD, FACS · Answer

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

Nelson Lee Novick, MD · Answer

I have been treating chickenpox scars with subcision for nearly thirty years with very gratifying results. Size and distensibility are important factors in determining the fees. But subcisions can typically run from 185-275 per site. Since so many venues are into hawking expensive "bells and whistles" gizmo treatments, like fraxel lasers and RF devices, it is really important that you seek out an experienced, board certified cosmetic dermatologist scar treatment specialist with extensive experience in performing subcisions. Hope this helps and best of luck.

Mats Hagstrom, MD (license on probation) · Answer

I don’t think the contour irregularity on your forehead is based on contractile scar tissue, and therefore do not believe a subcision will correct the problem.
My recommendation would be a direct elliptical, excision with a length/width ratio of at least four to one. 
Best,
Mats Hagstrom MD

Can I get subcision for my old chicken pox scar? (Photo)

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Can I get subcision for my old chicken pox scar? (Photo)

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