Doctor insights on:
What Is The Best Treatment For Atrophic Scars
I have atrophic scars on the glans penis, like acne boxcar scars, shallow/flat. Can I get them laser resurfaced like treatment for papules? Options?
Scars of the glans:
from your question I did not get the sense that you had pain from the scars.
I recommend against any further ablative treatments to the skin of the penis. This is a very sensitive part of your body and any ablative therapies such as laser resurfacing or more caustic treatments could reduce sensibility to this organ. Good luck.
Dan downey M.D.
Downey plastic surgery
www. Dr-downey. Com. ...Read more
I have indented scars on the outside corners of my eyes after blepharoplasty. Using kilo-cote at night. What is the best cream for atrophic scars?
Atrophic scar: An old injury site that is regressing or becoming LESS noticeable. As opposed to a hypertrophic scar which is raised, proud, and getting larger. ...Read more
The: The outcome from fraxel treatment is usually much more pronounced and more controlled than dermabrasion and microdermabrsion will not have much effect on the deeper layers of the skin. ...Read more
Is it normal to have some deep (atrophic) scars on the bikini line due to ingrown hairs and acne in the past?
It can: The best way to clarify this is to discuss that with your physician and see a dermatologist ...Read more
How to improve atrophic scars on the shins? I have several small indentations from injuries on my lower legs. My derm says there is nothing I can do!
Derm is correct: So you have some scars on your legs. I have some, too. They are from football, but people prefer my exciting war stories. My friends all wish they had some of their own. ...Read more
Yes but...: Depends on what you consider non-surgical. Peels, lasers, and/or dermabrasion all may help. Seek a local facial plastics md or dermatologist for good recommendations. ...Read more
I have a few atrophic scars on the glans penis, like acne boxcar scars. I know laser resurfacing is done for papules. Can this be done for my scars?
Hyperflexible joints, but no dislocations; thin, elastic skin w/ atrophic scars, but bruising regular; poor circulation; GI issues; ehlers danlos?
Could be: There are multiple types of ehlers danlos that vary in symptoms and severity. It is am inherited disorder so you should see a family history of similar symptoms. ...Read more
Which is the best treatment for facial scars? I ve scares deep on my face, I want to remove those, please suggest appropriate treatment,
See Plastic surgeon: Depends on what the scars are from, what are they like, are they old or new. Best to set up a consultation with a plastic surgeon in your area to get the most appropriate advice for your scars. ...Read more
Depends on scar: All scars should be protected from the sun, moisturized daily and pressure or massage may help. Sometimes a special garment is prescribed for burn scars to keep pressure on them. Topical silicone has been helpful in some cases as well. Remember it takes about a year for a scar to mature. Usually reddness from a scar will diminish during this time making it less noticeable. ...Read more
Type dependent: If shallow, crater-like scars, use of mechanical dermabrasion is probably most effective. Use of lasers, chemical peels or punch/excisions are optional. Most difficult to treat are the "ice-pick" variety, which may end up looking like enlarged pores regardless of the therapy provided. Proper skin care and avoidance of acne infections is the best....Do not squeeze or pick such lesions if active. ...Read more
Difficult: Resurfacing fractional lasers help reduce the scars but a great result is only 50% improvement, deep chemical peels by a trained MD help as well. Dermadbrasion and possibly the dermapen can reduce the scars to a lesser degree ...Read more
Surgical Tx best: The best and quickest resolution may be excision of the hypertrophic scar. Steroid injections will not affect the scarring that has occurred. The best cosmetic result is achieved with a simple excision which removes hypertrophic scar and also the pitting and depressions that are typical of acne scars. Removing a few of the most prominent scars will make your whole face look better. Best regards, . ...Read more
Silicone gel sheets: Scars look better after compression with a silicone gel sheet which can be worn nightly. The compression helps to remodel deep scar tissue making it flatter. When scars are fresh, the sheet helps remove redness faster too. Surgery or resurfacing treatments are indicated when the orientation, thickness or contracture of the scar needs to be modified. You may need to see a plastic surgeon for help. ...Read more
What is the best treatment for hypertrophic scars, is it best to use silicone sheets or silicone gel. Or is it possible to use both?
Silicone sheets and gels can be very helpful but usually you need to be consistent and the usually time frame is three months. No need to use both just one or the other. However, it is not perfect and if there is not adequate resolution of the scar, you may need to seek consultation with a plastic surgeon or dermatologist.
Hope that helps. ...Read more
Acne Scar Treatment: There are a number of options for acne scars depending on their size, shape, depth, and skin type. Laser resurfacing, usually fractional, may help improve the texture of the skin but may require multiple treatments. If there is deep scarring, the scars can be excised or cut out. Subcision, releasing the scar underneath the skin, along with fillers or fat can also improve the skin texture. ...Read more
I have MANY large/deep self harm scars on both thighs. I don't self harm anymore and hate the scars. What is the best treatment? Skin graft?
See a dermatologist: Certainly not grafting. You have enough problems without wasting time and money on a frustrating quest for perfect skin which you will never attain. You can also stop wasting your money on ascorbic acid, which is abundant in normal food. ...Read more
I have been diagnosed with bilateral inguinal scarring that came off a klebsilella infection that went on for several months, what is the best treatment for scar tissue?
If the infection affected your joint, you need to be followed for arthritis, get physical therapy and do home exercises.
If the infection was related to diabetes or obesity, the treatment is to control your chronic disease, preventing recurrence.
If the scarring is cosmetically bothersome, or just tight, seek a surgeon who specializes in chronic scars (plastic or general surgeon) for injections. ...Read more
Fractionated laser: One of the best treatments for acne scarring is fractionated laser. Depending on your skin color, texture and extent of scarring there are different laser options out there. A non-ablative fractionated laser like the fraxel re:store or dual has no real downtime, but requires multiple treatments. A fractionated co2 laser is more aggressive with about a week downtime, but may give faster results. ...Read more
Laser and Filler: With acne scars (textural issue) and sunken face (volume issue), I like to approach the texture issue first. The acne scars can be addressed by fractional ablation laser, or full ablation, or excision if more severe scarring is present. Once texture is address, the volume issue can be addressed by filler or collagen stimulant injections. Hyaluronic acid for the tear trough to help with the eyes. ...Read more
What is the best treatment plan for endometriosis? I am 22yo and had laparoscopy to remove scar tissue & adhesions. How do I control pain? I'm on bc pill
Tx after lap/ endo: If your not planning to conceive, the best approach after laparoscopy would be to treat with 6 month course of Lupron therapy. You may then consider Nexplanon, depoprovera or a Mirena (levonorgestrel) iud. Ocp's is an option, but not a good one to controll endometriosis ...Read more
Whenever I ejaculate I feel pain at surgical side of hernia repair. A doctor told me this is due to scar tissue. What is the best treatment for it?
Here are some. ..: Your described post-surgical pain profile at ejaculation is very intriguing and needs a surgeon who is willing to extend and expand personal thinking of how to manage such pain. The following is how I have and would done with no guaranty: more detailed Hx, physicals, trying alpha-blockers (off-label use), diagnostic & therapeutic nerve block, and last with surgical exploration/neurectomy/others. ...Read more
What is the best treatment for sun damage and brown spots snd mild cystic acne scar removal on the face?
I have a red spot after having a cold sore on my lip. What is the best treatment to help the scar go away? Mederma?
Depends on where...: Hi there, to adequately answer your question I would need a couple more pieces of information. (1) where exactly is the red spot? By that I mean is it on the red smooth "inner" part of the lip or is it on skin on the "outer" part of the lip? (2) how long ago did the cold sore go away? Mederma can work if it is on the outside, but not inside the lip. ...Read more