What is the best method to improve my shingles scar on side of my nose? (Photos)

Question

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

Jason Emer, MD · Answer

A combination approach would be best. I recommend lasers, microneedling/prp and fillers to get improvement. I suggest a formal evaluation with a scarring expert. Best, Dr. Emer

Jan Zemplenyi, MD · Answer

Thank you for posting your question. A combination of fillers and surface treatments can help improving your scar. Fillers can fill in the indented scar while surface treatment can decrease uneven skin pigmentation or reduce surface irregularities. I recommend meeting with an experienced, board certified physician for an in-person evaluation to determine what combination of treatments will work best for you. Best of luck.

What is the best method to improve my shingles scar on side of my nose? (Photos)

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