I Just Got Scar Revision (Punch Excision) for an Icepick Scar, but Now my Scar is Raised. What Now?

Question

I was told that punch excision plus dermabrasion would help a few of my icepick and boxcar scars. i had one scar done and now my scar is raised and red, more like a hypertrophic scar now. I had the scar excised about a month ago and had the dermabrasion done about 2 weeks ago. It is healed now but the redness and raised area makes it harder to cover with makeup than before. Should I jsut get more dermabrasion or is this not the right procedure for me?

Lawrence Kass, MD · Answer

I agree with Dr. Resnick. It will be hard to get useful information off of this site, especially without photos, for the question you are asking. While it is possible that you have a bad result from the dermabrasion, it is much more likely that there will be continued improvement over the next several months. Work closely with your doctor.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Barry Resnik, MD · Answer

It takes about 6m for a scar to look the way it is going to look forever. Remember, you are exchanging a scar you don't like for one you hope you will like better. There are many ways to help scars along, and you will need to work closely with your physician. dilute cortisone injected into the site maybe indicated; pulsed dye laser will also help.

I Just Got Scar Revision (Punch Excision) for an Icepick Scar, but Now my Scar is Raised. What Now?

Answers (3)

More Punch Excision Questions

Punch Excision on Old Chicken Pox Scars Only Created New Scars

Can Punch Excision Surgery Be Used to Treat a Lip Piercing Scar?

Does the Punch Excision Treatment for Scarred Pores Work on the Nose?

Recommendations for NYC Surgeon Who Does Punch Excision for Acne Scars?

How Much Does Punch Excision Scar Revision Cost?

WE SEND PRETTY
EMAILS