How can I decrease the appearance of this mole removal scar? (Photos)

Question

I got an abnormal mole removed from my chest about nine months ago. The dermatologist removed it via shave excision. i am using silicone sheets, but am not happy with the appearance. Are there any suggestions about any treatments that can be done to make this less obvious? Thanks!

Chet Mays, MD · Answer

Thank you for your inquiry! Scar creams can be used on scars to minimize appearance as well as silicone scar sheets. Lasers such as Microneedling can also be performed to minimize appearance as well. We would love to see you in person or virtually to discuss treatment options or schedule a consult with a licensed aesthetician.

Raffy Karamanoukian, MD, FACS · Answer

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

Laura A. Katz, MD · Answer

I think Morpheus would be fabulous idea here and have good chance of success. The morpheus 8 is a radiofrequency microneedling tool that inserts energy in to the tissue with a 24 pin needle device to various depths at various strengths.  This energy then stimulated collagen production, skin plumping, filling in of scars, skin tightening and muscle contraction.  If in some cases fat reduction is desired, it can do that as well.  It can be performed anywhere on the body in an office setting.  There are some temporary marks after treatment that usually resolve in 24 if not 48 hours so no extended down time either.  Here is a helpful link

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How can I decrease the appearance of this mole removal scar? (Photos)

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