Hi Dr. Naderi,
I have a depressed scar on my cheek similar to the woman on your photos page. You mention she underwent a 2 part excision. What does that mean? Also, what size scar was she left with after she healed from the surgery. I have tried filler and total fx with little success and am now seriously considering excision, as I really would like to improve this scar. Is there anything that should be done that would lead to the best possible outcome. Also, what is the risk of making the scar even worse. Thanks for your time.
A two part excision is also known as serial excision. This can be done for large moles or large scars or small areas of hair loss on the scalp. When one excision would result in a very large excision and a long scar, the surgery is split up and part of the scar (or mole or alopecia) is removed then the rest is removed after the area has healed. It can even be done over 3 to 4 times.
The length of scars is much less important than their orientation, color, surface characteristics and location.
Depressed scars dont respond to Lasers alone. Sometimes filling with Restylane or Juvederm does not even work if the scar is tethered down. The filler just ends up to the left or right of the scar.
Releasing the scar and filling it is an option. Excision and dermabrasion is an option. There are multiple options in scar revision but the options are limited by the patient’s skin color and ethnicity.
If you email me some pictures, I would be glad to take a look and make more specific comments.