How to get rid of white chicken pox scars (depressed and hypopigmented)? (photo)

Question

I have a single, white pigmented chicken pox scar, possibly from 20 years ago, on my forehead. I am a male patient. What should I do about this? I have read about microneedling/dermapen, LACA, punch elevation, or even excision/subcision but I am not sure. Also, what would the estimated cost be in my area (San Francisco)? Also, who would the best doctors be? Could a RN do this or only MD? In addition, how apparent would the scar from treatment be if I had excision/subcision done?

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

Yes, this can be improved with a combination of lasers, microneedling/prp, subcision and fillers. I recommend a formal consultation with a cosmetic dermatologist for best results. Cost will vary, but see an expert. Best, Dr. Emer

Sheldon S. Kabaker, MD FACS (retired) · Answer

The simplest and most reliable approach would be a horizontal fusiform excision with plastic repair. It should leave a minimally detectible scar.

How to get rid of white chicken pox scars (depressed and hypopigmented)? (photo)

Answers (3)