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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.

DOCTOR’S ANSWER (4)

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!

Warmest regards

Dr Stephanie Ho, Dermatologist


Dr Stephanie Ho

Stephanie Ho Dermatology

PACIFIC PLAZA, #08 - 05
9 SCOTTS ROAD
Singapore 228210


1489 views 7 Aug 2018

Hello Tess,

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!

Regards, 

Dr Jiwei Wu 


Dr Jiwei Wu
MBBS

8 Medi-Aesthetics Clinic

8 Medi-Aesthetics Clinic

51 Cuppage Road #01-02

Singapore 229469


1674 views 21 Jul 2018

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)

Winston


Dr Winston Lee
MBBS, MCEM, MPH

Inle Aesthetics and Anti-Aging Clinic

3 Simei street 6, #02-28

Singapore 528833


1619 views 22 Jul 2018

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!

Cheers,

Dr David Deng


Dr David Deng
MBBS, MRCS

8 Medical Aesthetic Clinic

8 Medical Aesthetic Clinic

1 Grange Road #06-05, Orchard Building

Singapore 239693


1618 views 23 Jul 2018
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