Can dermabrasion improve the scars caused by subcision? (photos)

Question

A few years back, I had a subcision performed at Cosmetic Laser and Dermatology; unfortunately, it left me scarred as a result. I have since had multiple laser treatments performed by Dr. Wu to try and correct the damage he caused during the procedure, but sadly, there is still noticeable scarring on my right cheek. The only thing I haven't tried is dermabrasion, which may smooth out the edges of the scars and generally smooth out the area. Any advice is greatly appreciated; thank you.

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

Anna Chacon, MD, FAAD · Answer

Dermabrasion can indeed improve the appearance of scars caused by subcision. Dermabrasion is a procedure that uses a specialized instrument to gently sand the skin, removing the uneven outer layer and promoting the growth of new, smoother skin. This can help to reduce the visibility of scars. However, the effectiveness of dermabrasion can vary depending on the individual's skin type, the severity of the scars, and the skill of the practitioner. It is important to discuss these factors with a qualified dermatologist or plastic surgeon to determine the best treatment plan.

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Can dermabrasion improve the scars caused by subcision? (photos)

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