Re-excision for indented scar after initial ice pick scar punch excision? No results with co2 laser (Photos)

Question

The vertical indented scar on the bridge of my nose resulted after an attempt at ice pick scar punch excision and closure. This scar is much worse than the small icepick scar. I had this performed with a board verified plastic surgeon. It has been 6 months and I have undergone 5 microneedling sessions and one co2 laser session with zero improvement. Should I consider re-excision?? Is there a high chance of worse scarring?

P. Daniel Ward, MD · Answer

Hi longshot03,I'm sorry to hear of the touch process you have experienced. Re-excision is an option that should be considered. It is unlikely to make the scar worse. The good news is that this is something that I would expect to be able to be nearly completely removed. The bad news is that it is a process that, even if excision improves the scar, will likely need further treatments, which might include a series of CO2 laser treatments, microneedling, subcision, and possibly fillers.Please let us know if you have any other questions or concerns!

Jason Emer, MD · Answer

A combination approach would give the most improvement. I recommend laser spot treatment, microneedling/prp, subcision for blending and fillers. It may take a series of treatments. See an expert. Best, Dr. Emer

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