What treatment is best for reducing the appearance of a previously reconstructed scar? (photo)
Doctor Answers 4
Surgical Scars Can Be Improved With Subcision And Fractional Microneedle Therapy
First, let me say that I am sorry that you are going through this. I find that post-surgical scars, resulting from trauma or the treatment of traumatic wounds, responds quite nicely to a combination of treatments that include subcision, with or without the addition of a biostimulatory filler, and fractional medical microneedle therapy. Unfortunately, I have been disappointed with the results of fractional lasers, radiofrequency treatments and other energy-based modalities for dealing with scars.
Briefly, subcision, which is performed using only local anesthesia, involves the use of a needle-like cutting device to break up the scar tissue below that is tethering the surface of the skin downward. This allows the surface tissue to float upward, while promoting neocollagenesis (new, native collagen production) to act as a platform below it. If necessary, a small amount of bio-stimulatory filler, such as Radiesse, may be injected to yield more immediate aesthetic results and to help the new collagen synthesis process along.
Finally, as is not uncommon with scars of all kinds, the surface of the scar will likely require fractional microneedle therapy to help to better blend the surface of the scar with the surrounding normal skin. For more information on these simple, quick, and relatively inexpensive treatments, please check out the Realself.com archives.
Consultation and treatment by a board certified aesthetic physician with expertise and experience with all forms of scar treatment methods is essential for a gratifying outcome.