Best Solution To Remove Scar In Smile Lines?

Question

I formed a scar. I went to a derma doctor when I was 15 years and he injected something which flatten it. It lasted a couple months and then came back again.I left it alone for ten years and went back to the same doctor and he suggested that he cut it out. I was too scared and so I decide to think about it more.I was wondering what the best solution would be to make it look better or what the first derma doctor said is the best option.

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

Vivek Bansal, MD · Answer

Go to a Board Certified Plastic Surgeon and obtain another opinion.  Excising the scar may be a good option, just be sure it is someone who does this often, and has alternatives to offer if the scar doesn&rsquo;t resolve.

Daniel I. Wasserman, MD · Answer

After looking at your picture, it seems that there is a small scar on the left upper laugh line.  If this is the one you are referring to, I would consider the following options.  Sometimes a little steroid injection can soften it up, or even some fractionated laser resurfacing will help blend the edges.  In the right hands, these two treatments are quite safe and offer little downside.  Surgically revising the scar carries the most uncertainty.  While this is an option, you have to ask yourself if it does not turn out the way you want (which is not a small chance), was it worth the try?  That is the question you need to answer.

	Good luck.

Best Solution To Remove Scar In Smile Lines?

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