What kind of scar removal procedure do I need and can this be done? (photos)

Question

I've had this scar since I was 6. I got fight with my friend and he put knife under my eyebrow, luckily not my eye. Im 36 now. Can this still be removed? I've been putting those cream lately for month but I don't see improvement. This scar been bothering me all my life. What procedure is right for me and how much would it cost around DC/MD/VA area?? Thank you.

Raffy Karamanoukian, MD, FACS · Answer

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

Jason Emer, MD · Answer

Depressed scars can be improved with vascular lasers like Yellow laser, BBL, or Excel V when they are red --- and with CO2 spot treatments, fillers, microneedling with PRP, and subcision to help with texture and blending. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer​

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question and photographs. It's difficult to evaluate your skin through this type of forum, but from what I can see, it looks like atrophic scarring. Treatments that cause injury to the skin resulting in subsequent collagen formation can be effective. Such treatments include laser therapy, microneedling, chemical peels, etc. Injectable fillers can be an option, such as Bellafil, so I highly recommend you consult with a board certified dermatologist or facial plastic surgeon to have your scar evaluated and to discuss appropriate treatment options. Take care and good luck.

What kind of scar removal procedure do I need and can this be done? (photos)

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What kind of scar removal procedure do I need and can this be done? (photos)

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