Puckering above scar on face (photo)

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 would need surgical removal or lasers to improve. Please see an expert for an evaluation.  Best, Dr. Emer.

Thank you for sharing your question and photograph.  Though nothing replaces an in-person examination it appears that your scar has become indented along your cheek region and the only way to improve upon this would be to either to use a needle to release the underlying scar tissue and place filler in between the skin and underlying muscles or excise the scar and re-suture the tissues in such a way as to prevent the scar from being pulled inward.  Hope this helps.