Large area forehead scar - would microneedling/lasers help? (Photo)

Question

33 yo female with inflammatory condition now under control. Would microneedling / lasers help at all with scar contraction or is tissue expansion my only option? Thank you so much for any guidance.

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Derakhsh Fozouni, MD · Answer

Hello there!
Since you have an underlying inflammatory condition, it would be ideal to schedule a consultation to be able to review your medical history and give a more appropriate treatment plan. Microneedling with PRP is wonderful to help fade scars and resurface uneven skin in general but, it is hard to know if you will be a good candidate since we have to make sure your medical condition will not be counterproductive. 
Good luck!
kmrn

Large area forehead scar - would microneedling/lasers help? (Photo)

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Large area forehead scar - would microneedling/lasers help? (Photo)

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