Thank you for your photos. You have both surgical and nonsurgical options for your biopsy scars. Your non-surgical options include microneedling or energy-based therapy to break apart the existing scar and having your body fill in the are with fresh collagen which hopefully will be of a more consistent pigmentation. An additional option is to have re-excision of the scars to thin the scars. This can be done with local anesthetic as an office procedure and would require stitches that would need to be removed. Hope this helps!!
Johnson C. Lee MDPlastic Surgery
Lasers and fillers can be used to improve this. once improved microtattooing can help. BEst, Dr. Emer.
The problem with converting the scars into thin vertical lines is that the result will likely appear like unwanted "smoker's lines," (aka "lipstick bleeding lines" or "bar code lines"), which may prematurely age your appearance in this region--a situation that would be akin to trading a headache for an upset stomach. It is a bit unclear to me why the aesthetic tattooing was not successful. Perhaps you should consult with another specialist in this area. Alternatively, I have found that the use of medical microneedling coupled with the application of topical tyrosine or bimatoprost to be helpful in certain circumstances for promoting some degree of repigmentation even in older, mature scars, such as yours (scars more than three months old) where it seems clear that there is an absence of functioning melanocytes. Although, I do not think this has been studied, it is possible that microneedling may autotransplant functioning melanocytes from surrounding normal skin into the damaged area. You would do well to consult with a board certified aesthetic physician with experience and expertise in scar treatments. Best of luck to you.
Hi, Before you go for a surgical revision, why don't you try a series of fractionated laser treatments or microneedling? I'd recommend consulting an expert in scar treatment (seek out a board certified dermatologist with cosmetic expertise) who can discuss all of the available options. Good luck!
Surgical scar revision, fractional laser, and skin resurfacing can help reduce the appearance of your scars.