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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
A HD closeup would have been helpful. But, if as seems to be the case here, the mark is flat and hyperpigmented, then a series of professionally performed manual microneedling accompanied by the immediate application of topical prescription bleaching medications would be a reasonable approach. Surgical revision in an area such as thjis, subject to movement, would likely lead to a stretch scar and even tram track stitch marks. Relatively expensive light- and energy-based therapies, especially in skin of color, run the risk of dyspigmentation, either hyper- or hypopigmentation. Microneedling (without the addition and expense of RF) has been proven to be safe and effective in all skin types for improving color and texture irregularities. Make sure to consult with a board certified cosmetic dermatologist. And best of luck.
Thank you for your question. There is no definitive way to avoid keloid scarring; however, I recommend speaking with your tattoo specialist to discuss tattoo care to achieve the best results. If a keloid scar does form, I recommend speaking with a board certified plastic surgeon to discuss your...
Good Morning jayin,I hope this response finds you in good health. I can understand your condition can be distressing for a woman of your age and especially since it is all over your face. Unfortunately once a scar has formed a topical ointment would not be the best way forward. I would suggest...
Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and...