Suggestions on having Scar on my face (dog bite) revised again/tightened? (photos)

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

This scar can be improved with can be treated with laser spot treatment, fillers, microneedling/prp and subcision to help texture and blending. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer

Thank you for your question and posting a picture.  No one has perfect skin, but you can probably get significant improvement in your scar.  Some lasers are proven very effective on this type of scar.  I would recommend trying to improve the overall texture and break up any underlying scar tissue before trying to "fill" it in.   After a complete consultation in a medical setting, you would probably be a candidate for a several treatment options depending on your skin type, severity of the scar and how much downtime you can take.  Keep in mind that more intense/deeper treatments require more downtime, but you will need less treatments.  If you choose a short downtime treatment plan, you will need more treatments in the series.  The most gentle would be something like the PicoSure FOCUS treatment with almost no downtime for both scars and sun damage.  It is safe for all skin types, but you would probably need 1 to 3 treatments.  Another option would be a fractional 1540 nm laser treatment like ICON or Fraxel.  With these treatment you could have redness and swelling for 1 to 3 days, but need less treatments.  Look for a medical setting with a doctor in house, where they have multiple laser options and experience treating your scars.  Prices vary by market.  Best of luck.