Two year old scar - What are my options? Will this scar fade? (Photos)

I'm sorry that this has happened to you. The ideal window of time for treating imminent scars to achieve the most improvement is between the end of week four after the injury (when the wound is strong enough to withstand treatments) and the end of week twelve (when the scar is considered "mature.") Unfortunately, at this point, it is unlikely to improve much in appearance without some form of treatment. With proper treartment a 60-80% overall improvement in appearance is not unreasonable.
I have personally achieved gratifying results using manual dermarolling microneedling (no need for the added expense or risks of RF microneedling) accompanied by the application of topical Rx pigment enhancing medications, such as topical tyrosine.
Surgical excision risks the subsequent development of a stretch scar and even stitch tracks, especially in an area subject to a great deal of static and dynamic tension, such as the forehead.
And exercise a great deal of buyer beware caution when offered the use of treatments with expensive fraxel lasers or RF treatments, as the hard science to back of the use of these expensive gizmos lags well behind the heavy marketing hype and social media buzz to promote them.
You would be wise to consult with a board certified cosmetic dermatologist scar treatment specialist.

When dealing with a two-year-old scar, there are several options to consider for improving its appearance:

Time and Natural Fading: Scars can continue to change and fade over time, even after two years. While they may not disappear completely, they often become less noticeable.

Topical Treatments: Consider using silicone gel or silicone sheets, which are known to help flatten and soften scars. Over-the-counter scar creams containing ingredients like onion extract or vitamin E may also be beneficial, though results can vary.

Laser Therapy: Laser treatments, such as fractional laser therapy, can help reduce the appearance of scars by promoting collagen remodeling and improving skin texture. This option is effective for both the color and texture of the scar.

Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, stimulating collagen production and potentially improving the appearance of scars.

Chemical Peels: Superficial chemical peels can help improve skin texture and tone, making scars less noticeable. This option is more effective for surface-level improvements.

Steroid Injections: If the scar is raised, steroid injections can help flatten and soften it. This treatment is typically used for hypertrophic or keloid scars.

Surgical Revision: For more significant scars, surgical revision might be an option. This involves removing the old scar and carefully re-closing the wound to create a thinner, less noticeable scar.

Camouflage Makeup: In the meantime, using high-quality camouflage makeup can help conceal the scar and boost confidence.

Consult with a dermatologist or plastic surgeon to discuss these options and determine the best course of action based on the scar's characteristics and your personal preferences.

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. 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 discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi,
I would recommend an ablative laser like C02 or pixel for best results. Otherwise a series of treatments like Morpheus, RF needling or micro needling with also help lighten scar.

Given the age of the scar, there is likely to be little change moving forward.
Depending on your willingness to undergo procedures, you have several options.
Resurfacing procedures - such as CO2 laser or a series of microneedling are a couple options.
Surgical revision and realignment is a possibility, but will almost certainly entail resurfacing and carries with it the most risk and downtime.

The scar can be treated with micro-needling. For the white, cosmetic, not artistic, tattooing can provide color again. Be sure you have no tan prior to the tattoo.