Surgical scar revision combined with lasers
Surgical scar revision may work very well depending on your scar; followed by fractional lasers, subcision, and fillers.
Best, Dr. Karamanoukian
Scar Revision -- Subcuticular Sutures
Scar revision requires skill, patience, and creativity. We frequently perform this procedure in my practice. I would suggest consulting with an expert in scar revision for optimal results. I often do subcuticular sutures to get the best outcome with skin glue. Best, Dr. Emer
Re-excising a scar can be performed in order to make a scar appear more thin and less noticeable. Regardless of the suturing technique used, the goal is to make sure there is minimal or no tension on the surface layers of the skin during the healing process. As you heal, underlying tension will cause your scar to naturally widen and stretch to relieve this pressure. This can make even the best looking scar slowly look worse over time on its own. Facial skin tend to be more tight due to the contour as well as muscle activity of the face so wide scarring is a frequent problem. Any plastic surgeon should be able to perform a subcuticular suturing technique but for the best treatment option, it is important to visit an expert for an in-person examination to see if the subcuticular technique will be strong enough to remove tension in the area of your current scar. Best of luck!