How to improve this chin implant scar? (Photos)

Question

Hello! A couple of years ago I had a chin implant that later was removed, replaced by a smaller one and then that to was removed, because I did not like it. Well, now I'm left with a long scar under my chin. I just had a microdermabrasion procedure to try and improve it. I believe its somewhat better than before, but what else can I do? The "corners" of the scar are raised/bumpy. I have no idea where to turn for help. Can threads help me? I was thinking it could strech the skin into being more flat. I went to see a surgeon, that told me that scar revision was not a good option, because the skin is tight as it is (when I lift my chin up), so he recommended laser, but I'm not sure what kind, and if it would flatten the scar. What do you think? I would be so grateful for advice on this! Thank you :)

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

Monika Kiripolsky, MD · Answer

Hi 34,
  Just looking at your photos (and not seeing you in person), I’d say laser resurfacing of your scar is the best option. You will likely need about 3 treatments for the best results. Go to a board certified dermatologist who has done advanced training in lasers if you want to ensure you get the best result. In other words, choose the doctor first (not just the company that makes a specific laser). If it’s a great doctor, you can be assured that she/he will use the best laser on you. 
Hope this helps!
Dr. Kiripolsky

Nelson Lee Novick, MD · Answer

I'm sorry that this has happened to you. I typically advise robust HA fillers for chin augmentation, rather than surgical implants, owing to the frequent need remove to remove and replace resulting from changes in the surrounding tissues with aging or to undesirable results (as in this case). 
In this case, if the scar is elevated, it can usually be flattened by intralesional injections of an anti-inflammatory agent, such as triamcinolone. Once this is done, professionally performed microneedling (no need for the added expense and risks of RF microneedling)  can be used to improve the superficial color and texture of the scar. You would be wise to consult with an experienced, board certified cosmetic dermatologist scar treatment specialist and best of luck.

Anna Chacon, MD, FAAD · Answer

Improving the appearance of a chin implant scar can be a challenging process, but there are several options to consider. Since you've already tried microdermabrasion with some success, you might explore additional treatments to further enhance the scar's appearance. Laser therapy is often recommended for scars, as it can help reduce redness and improve texture. Different types of lasers, such as fractional lasers, can target specific layers of the skin to promote collagen production and smooth out raised or bumpy areas. Consulting with a dermatologist or a plastic surgeon who specializes in scar treatment can provide personalized advice based on your skin type and the characteristics of your scar. They might also suggest other options like silicone gel sheets, which can help flatten and soften scars over time. While threads are sometimes used for skin tightening, their effectiveness on scars is less clear, and they may not address the specific concerns you have. It's important to have a thorough discussion with a specialist to understand the potential benefits and limitations of each treatment option, ensuring that you choose the most appropriate method for your needs and expectations.

How to improve this chin implant scar? (Photos)

Answers (4)

Answer: Improving the Appearance of a Chin Implant Scar: Exploring Treatment Options

Answer: Improving the Appearance of a Chin Implant Scar: Exploring Treatment Options

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How to improve this chin implant scar? (Photos)

Answers (4)

Answer: Improving the Appearance of a Chin Implant Scar: Exploring Treatment Options

Answer: Improving the Appearance of a Chin Implant Scar: Exploring Treatment Options

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Recommended reading

Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.