What is the best method to get rid of depressed scars? (photo)Skin, Hair & Nails
I have some scarring from an infected insect bite that became swollen about 9 years ago. What would be the most effective way to get rid of this depressed scar completely? I have tried 1 session of subcision, and am doing laser facial for about 10 sessions, but the results are not as good as I would have hoped for.
From your photos, you appear to have 2 depressed scars on the cheek. I would suggest two options:
1. Fractional CO2 laser to stimulate new collagen formation. 4-5 monthly sessions may be needed for 50-70% improvement.
2. Scar revision by cutting out the existing deep scars and lasering the new more superficial scars. Most patients can achieve good results after a 3-6 months.
Hope this helps!
Dr Stephanie Ho, Dermatologist
You can expect to get some result with a few sessions of subcision, combined with fractional laser resurfacing.
You can also consider subcision together with filler placement to elevate the depressed scar. Speak to a trusted doctor to find out more. Hope this helps!
Dr Jiwei Wu
I agree with Dr Wu. You should do fractional laser which unfortunately has some downtime but results in some collagen stimulation and also to even out the skin texture, but pre-treat with filler instillation underneath the depressed scar (with subcision)
A Dermatologist's Guide To Scar Removal In Singapore (2019)
Many of my patients come to my clinic seeking scar removal treatment, so I decided to put together this guide to address some of the most common...READ MORE
The assessment of scars for effective treatment results require first a clinical examination under good lighting. You seem to have a depressed peel rolling scar. I will need to check for its distensibility before advicing on subscision +/- filler or rejuran s (specifically for scars).
Essentially if a scar is distensible, then subscision +/- filler or rejuran can help to raise it before ablative fractional laser resurfacing can increase its scar improvement effectiveness. Results in experienced hands are permanent.
Hope this helps!
Dr David Deng