Surgical scar removal - what would be the best technique? (Photo)

Question

Can the 2 scars on the leg as seen on pictures be improved via surgical scar removal ? What would be the best technique ? Or is there any other procedure which would make them look better/smaller? Thanks.

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

Nelson Lee Novick, MD · Answer

Surgical excision of scars, particularly in areas subject to a great deal of tension or movement, run the considerable risk for the subsequent development of stretch scars and tram track stitch marks, conditions that may be more aesthetically problematic than what is present now. You may wish to consider the use of professionally performed manual microneedling (no need for the added expense and risks of RF microneedling) to improve both the superficial color and irregular texture of the scars. If they are indented scars, then simple and relatively inexpensive subcision can be used to elevate and smooth them. Make sure that you consult with an experienced, board certified cosmetic dermatologist. Hope this helps and best of luck.

Surgical scar removal - what would be the best technique? (Photo)

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