How do I get rid of atrophic scarring on belly button piercing? (Photo)

Question

I’ve had an atrophic scar on the top of my belly button piercing for years. Is there a way to get rid of it while still keeping the piercing?

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

this can be improved with sucbsion and filler but really needs to be surgically removed.  you can pretreat the area with anteageMD and vivatia to ensure proper healing and decreased risk of pigmentation.  Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear suhdude16,
it is hard to tell for sure without an examination. You might need scar revision in order to get good results. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Theodore Harrison, MD, MBA · Answer

You might consider an injected fat graft with platelet-rich plasma (PRP). The physician would need to do a mini-liposuction to obtain the fat and then mix it with PRP before injecting it into the site. It works for breast augmentation, so it would likely work on a smaller scale here. Likely to be expensive though.

How do I get rid of atrophic scarring on belly button piercing? (Photo)

Answers (4)

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