Crepey scars on legs after Fraxel and microneedling - will it go away after more sessions? (photos)

Question

Hello, I have surgical scars on both calves and performed fraxel on them around 7 years ago with good results, other than slight hypopigmentation. Recently a dermatologist recommended microneedling the scars and i have noticed the skin on the scars looking crepey and wrinkled. Is this normal? Will this go away after more sessions? I have noticed the skin seems to be rejuvenating but I do not like the crepey appearance to my scars.

J. Timothy Katzen, MD, FACS · Answer

Hi there! Thank you for your question about your scars. I do not believe that microneedling will help with these types of scars. I would suggest a scar revision to excise this piece of scar and create a new, thin scar line. I hope this helps!

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Vibha Gambhir, MD · Answer

Hello, and thank you for your question. I do agree with your dermatologist that microneedling would help with the texture and overall look of the scar. With continued treatment it will send collagen to the area to help heal faster. Good luck in your journey

Crepey scars on legs after Fraxel and microneedling - will it go away after more sessions? (photos)

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