Monroe piercing scar removal? Best method to minimize the scar? Risks? (photo)

Question

I've had my monroe piercing for almost 18 years. It's still open and I would love to have the entire tunnel of tissue removed. I'd prefer the least amount of doctor visits possible and my ultimate goal is minimal scarring. I'm curious if a circular biopsy punch or a subcision are the best methods or are there others? Are there certain risks with either procedure? I know it varies per person, but what's the ballpark cost of these procedures? Thank you for your time and assistance.

Jason Emer, MD · Answer

This can be improved with a combination approach of lasers, microneedling/prp, subcision and fillers. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

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

Kristine Brecht, MD (license suspended) · Answer

I would recommend excising out the whole tunnel, and small skin closure at the surface of the skin. Punch bx will probably not reach the whole length of the scarring.
Choose an expert. Best. Dr Brecht
Seattle, Wa

Monroe piercing scar removal? Best method to minimize the scar? Risks? (photo)

Answers (3)

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