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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
Hello,To figure what to do to improve a scar, an evaluation by an experienced surgeon is required. You might be a candidate for a scar revision operation.Best Regards,John Di Saia MD
There are various treatment options for indented scars. The options should be reviewed with your dermatologist or plastic surgeon. Your options include: laser resurfacing or dermabrasion, surgical excision/scar revision, or chemical &/or physical subcision. Another option would be injection of a filler under the scar to lift it out. Talk to your doctor about your best option as far as safety, effectiveness, and cost. If there are any colour issues, then a laser can be used as an adjunct.
There are many modalities to correct indented scars. From scar revision, multiple z plasties, fillers, ILP, laserbrasion, dermabrasion, microdermabrasion, chemical peels, or any combinations of these. Go see well qualified and boarded Plastic Surgeons so an in person evaluation of the 'indented scar" can be done.
It is difficult to suggest what to do without examining you and getting a proper history. It is unusual for a simple scratch to cause a depression. Is there swelling around the region or is it truly depressed?
Often, the simplest solution to breast augmentation scars is to excise them and resuture them without tension. I have found this to work well. My office offers a combination of ablative and non-ablative lasers. I also advise my patients to begin treatment with Melarase for dark scars...
The good news about scar treatment is that they can always be improved. Pigmented scars can be lightened, red and purple scars can be corrected, depressed scars can be raised, raised scars can be flattened and scar texture can improve. The reality is, it often takes multiple types of treatment...
There is no one treatment that is universally best for all scars. You need the area examined by a good plastic surgeon to get recommendations for treatment. Best Regards.
