Scar removal is one of Dr. Khorasani’s specialties and his favorite procedure to perform.
Below is a summary of Dr. Khorasani’s scar treatment recommendations:
Each scar is very unique. Generally, there are four components of scar tissue which are different from normal skin:
Elevated Scars and Step-Off Irregularities
Patients usually need 3 steroid injections 4 weeks apart. In more complex cases such as scar from a flap on the nose, patients may need dermabrasion (polishing of the scar).
Treating Redness in Scars
Most redness tends to improve over a period of time (about 18 months). Occasionally scars will remain red for years. In order to get rid of the vascular (redness) component of the scar, patients greatly benefit from Pulse Dyed laser treatments (V-beam). Depending on the settings used, the treatment may have to be repeated 2-4 times, 4-6 weeks apart.
Textured and Pigmented Scars
In order to treat the texture and the pigmentation of a scar patients often need a superficial resurfacing laser. An ablative fractional Co2 laser called Ultrapulse Active FX is a great laser for treating scar texture.
Depending on the settings used, the treatment needs to be repeated 2-4 times 6 weeks apart.
Depressed scars are the most difficult component to treat. The best treatment for depressed scars is usually a deep resurfacing laser. An effective laser for treating this is an ablative fractional Co2 laser such as Ultrapulse Deep FX or Scar FX.
Depending on the settings used, often 1 treatment is enough, but for deep scars, the treatment may need to be repeated a few times, 6 weeks apart. Depressed scars can also be injected with a semi-permanent filler called Bellafill®. Before using Bellafill®, it's important to perform an allergy test 4 weeks prior to your procedure in order to prevent hypersensitivity reactions.
Occasionally, the best treatment option for a depressed scar is a scar revision. The depressed portion of the scar is surgically removed and the wound is sutured with a special technique.
*Individual results may vary