Revision options for new scarring caused by Dermabrasion? (Photo)

Question

had a mole removal scar that left a deep pitted scar. 2 yrs later saw a derm for revision. Dr only gave me the option of spot dermabrasion. The scar was above the corner of my lip. I thought derm was only going treat the scar and did not know she was also doing the surrounding good skin Now I have new scars in a larger area and hypo. This area has a weird texture, is higher, has demarcation lines and bumpy. Being that the skin was dermabraded and I don't how it will react what are my options?

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne 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 acne 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 acne scars and indented acne 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 been 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 laser 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 acne 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

Jeff Rapaport, MD · Answer

You have 3 issues. Hypo pigmentation from the dermabrasion with texture changes. And a depressed saucer shape. The saucer shaped scar will benefit from subsision with micro needle radio frequency and PRP. The hypo pigmentation can be treated with eximer laser. A closer view of the texture changes is needed to properly assess a treatment.

Jeff Rapaport MD FAAD
Realself Allstar

Jeff Rapaport MD FAAD 
Realself Allstar

Jason Emer, MD · Answer

Fillers and lasers like ablative CO2 can help. Fillers may be able to camouflage in the short-term. I would suggest seeing an expert for a formal consultation. Best, Dr. Emer.​

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