Scar removal optinos for red scar above eyebrow and ice pick scar (photos)

Question

Hello! I have a red scar/mark left over from a curette procedure to remove a lesion and am wondering what type of treatment would help reduce the colour and texture. I also have an ice pick scar between my eyes that I hate the look of. Also my face has red flushing on the cheeks. Hoping to figure out a treatment that would help all of this.

Anna Chacon, MD, FAAD · Answer

Scars can vary in both texture and pigmentation, and different approaches are often needed depending on the type:

Red scar above eyebrow: The redness you’re seeing is usually due to vascular changes in healing skin. Treatments such as vascular lasers (like pulsed dye laser or IPL) can help reduce persistent redness and improve skin tone over time.

Ice pick scar: These are deeper, narrow scars that often don’t respond well to topical treatments alone. Options include TCA CROSS (chemical reconstruction), microneedling with radiofrequency, or fractional laser resurfacing, all of which stimulate collagen remodeling to soften and fill the scar.

Red flushing on the cheeks: This may represent underlying vascular sensitivity or rosacea. Again, vascular lasers/IPL can be very effective for reducing diffuse redness.

In many cases, a combination approach—vascular laser for redness plus resurfacing/microneedling or chemical reconstruction for textural scars—provides the best outcome.

Nelson Lee Novick, MD · Answer

You would be wise to consult with a board certified cosmetic dermatologist who would be able to address each of these issue. For the post-inflamamtory erythema (PIE), i.e. the persistent redness at the currettage site, manually performed Dermastamp microneedling (no need for the added expense and risks of RF microneedling) can be used accompanied by the topical application of anti-redness Rx medications. i have successfully used this approach for this problem for nearly 25 years.wjth gratiffying results. For the Ice Pick Scar, TCA CROSS , would be a simple and effective treatment that I have used for the past 23 years.And the facial flushing, which may be treated with the microdroplet approach using Botox, is likely to be the result of rosacea, and for which a dermatologist can prescribe an appropriate at-home treatment regimen, as well.Bottom line: you would be wise to consult with an experienced board certified cosmetic dermatologist who can help yo with each of these problems. Best of luck.

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

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