Could I reduce visibility of the scar in-between my eyebrows? (Photos)

Question

I got this scar in between my eyebrows in an accident with a pane of glass about 5 years ago. Stupidly didn't get stitches after some bad advice. It's recently been making me feel extremely self-conscious again. Appearance wise, it sometimes blends in quite well with the skin depending on the light. However, in daylight (especially sunny days) it stands out like a sore thumb and I just want to see if it's possible to even reduce the visibility. Even by say 50%.

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

John Michael Thomassen, MD · Answer

A carefully done scar revision can significantly improve the appearance of this scar.  This can be done under local in the office.

Nelson Lee Novick, MD · Answer

Sorry this happened to you  For what appears to be an elevated portion of the scar, this can be flattened with the intralesional injection of an anti-inflammatory medication. Once this is done, the prominent hypopigmentation can be addressed with the use of Dermastamp manual microneedling accompanied by the application of prescription topical pigment enhancers, such as tyrosine and lanatoprost. Usually three or four treatment sessions are required. While you will no doubt be hawked fraxel lasers or some other expensive "bells and whistles" gizmo, you would be wise to exercise a healthy amount of "buyer beware," since the hard science to support the use of these devices lags woefully behind the heavy marketing to promote them. You would be wise to consult a board certified cosmetic dermatologist, and best of luck.

Could I reduce visibility of the scar in-between my eyebrows? (Photos)

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