TCA 100% 3 months later and still no improvement, what can I do?

Question

On 1st march very deep TCA done. Scab came out on 30 march from 1st April till date (3 months) still no improvement, see pink (final layer/tissue not coming), can see between, branch like hard hypertrophic scaring. afraid from laser please suggest best topical only if not possible then only suggest which laser name, session. i don't have infection in scar few acne came but treated using doxycycline oral. some time patient are not aware about if laser machine used is right or not so better avoid.

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist for after care. This can be improved with a combination of silicone gel with growth factors, lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. See an expert. Best, Dr. Emer

Sameer Bashey, MD · Answer

I never do 100% TCA . If you have a hypertrophic scar like it appears- you need to get a combination of kenalog shots, pulse dye laser to see if you can get it to flatten.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Using TCA on a scar like this will worsen it. You do need to see a dermatologist or plastics for treatment. You will require dilute steroid injections, combination low density CO2 fractional with steroid drip, 5FU injections, PDL and suitable silicone dressings over the next 6-12 months. This is the reality of dealing with a scar like this. All the best, Dr Davin Lim. Brisbane. Australia.

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