Old leg scar - is it possible to make this better looking? (Photo)

Certainly, there are several potential treatment options to improve the appearance of a scar. One option is laser therapy, and both Fraxel and V Beam lasers have been used effectively to address scar tissue. These lasers can help in reducing the visibility of scars by promoting collagen production and improving skin texture.

Another approach involves dermal fillers such as Juvederm, Restylane, and Belotero. These fillers can be used to elevate the depressed skin caused by the scar, providing a smoother and more even skin surface. This method is particularly effective for scars that have created noticeable depressions, as is your case.

Microneedling is a third option worth considering. It involves the use of tiny needles to stimulate collagen production in the skin, helping to fill in the depressed areas caused by the scar. This method can contribute to improved skin texture and a reduction in the prominence of the scar.

Best of luck!

Our office has many different treatments for acne scars depending on the depth of atrophy or hypertrophy. Acne 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 acne 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 acne scars and indented acne 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 acne 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

At least from the photo provided, the primary issue here is a long, hypopigmented scar and stitch tracks. For this, consider professionally performed, manual microneedling (no need for the added expense and risks of RF microneedling) accompanied by the application of prescription-strength pigment enhancers, such as topical tyrosine and lanatoprost. Microneedling in this way can help to improve both the color the superficial texture of the scar. By contrast, scar revision surgery runs the risk for the subsequent development of a stretch scar and stitch tracks. in your pursuit of treatments, you might also be hawked the use of fraxel lasers and RF gizmos. So, it is important to be aware that the hard science to support the use of these kinds of relatively expensive "bells and whistles" lags woefully behind the heavy marketing hype and social media buzz to promote them. So, a hefty dose of "buyer beware" would be wise when evaluating these. Hope this helps and best of luck.