Scar Removal for Pox Scars

Do you think pox scar excision followed by dermabrasion and finally hair transplantation over the scar will make it really difficult to be noticed?

Doctor Answers 4

Excision then resurfacing a great approach for pox scars

Small pox scars are a lot like Acne Scars. The pox scars can appear very differently in people. Depressed scars can be excised or they can be elevated and then resurfacing can then be done. Excision of the scars will likely need two stages. You would need to excise them at the first stage and then allow them to heal. At 6-8 weeks or later, we can then do the resurfacing procedure to smooth over the incision from the excision. If you want to do it in one stage, you can elevate the scars through punch excisional techniques where the depressed scar is incised completely around it and then elevated so that the skin is at the same level. Once this is done with all of the depressed scars you can then resurface the face or area at the same time.

Results can be as good as the two stage approach. When the scars are raised, you can use resurfacing techniques to lower the raised portion and then the area can be healed over by the migrating cells. Hair transplantation can help but they can be placed in areas that you might not want hair located at. You have to make sure you don't mind hair in the area that you transplant hair. With the above techniques you may not need hair transplantation given the excellent results that you can attain.

Bellevue Facial Plastic Surgeon
4.2 out of 5 stars 86 reviews

Chicken pox scars and scar removal

The gold standard for treatement of a chicken pox scar is excision and scar revision.  Lesser treatments such as laser will not work to remove the scar. Subcision will work for these difficult and steep scars.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Options for Pox scars

Although chicken pox scars can never be totally eliminated, there are several things that will make them less noticeable:

1) Pixel laser resufacing.

2) Subscission of the scars.

3) Excision of the scars.

4) Fill the scars with Restylane or Juvederm.

Kevin Brenner, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 22 reviews

Treating Chicken Pox scars

Hi Oncall,

While it's difficult to say if the exact sequence is the best for your case, you have certainly highlighted two possible solutions for chicken pox scar revision -- subcision and dermabrasion. We suggest you consider any and all of the following before making a final decision.

  • CO2 Laser Resurfacing
  • Erbium Laser Resurfacing
  • Fractional Laser Resurfacing
  • Deep Chemical Peels
  • Dermabrasion
  • Subcision
  • Excision

There may not be one "best" course of action, rather different specialists will suggest different options. For example, we have the option of performing Erbium laser resurfacing at our office.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.