Hypertrophic scars
Doctor, I'm sorry to bother you...
I have a question.
I previously had two large pimples on my nostrils, and I might have squeezed them.
Now, there are noticeable raised acne scars.
What should I do? Which type of laser treatment can I use to remove them?
DORIS, 10~19 year old female. Ask Date: 2009/01/10
Dr. Jiang Yujiao reply Dermatology
Hello: Raised acne scars can be initially treated with injections for reduction, and if needed, laser treatment can be used afterward.
- Jiang Yu-Jiao
Reply Date: 2009/01/10
More Info
When it comes to treating raised acne scars, particularly on the nose, there are several effective laser treatments available. Raised scars, also known as hypertrophic scars or keloids, can be particularly challenging to manage, but advancements in dermatological treatments have made it possible to significantly improve their appearance.
1. Laser Treatments: The most commonly recommended laser treatments for raised acne scars include:
- Fractional CO2 Laser: This is one of the most effective treatments for various types of scars, including hypertrophic scars. The fractional CO2 laser works by creating micro-injuries in the skin, which stimulates collagen production and promotes skin remodeling. This can help flatten and smooth out raised scars over time. Patients typically require multiple sessions to achieve optimal results, and there may be some downtime associated with this treatment.
- Erbium YAG Laser: This laser is less aggressive than the CO2 laser and is often used for superficial scars. It can help improve the texture and color of raised scars with minimal downtime. It is particularly beneficial for patients with sensitive skin or those who are concerned about prolonged recovery times.
- Pulsed Dye Laser (PDL): This laser targets the blood vessels within the scar tissue, which can help reduce redness and improve the overall appearance of the scar. It is often used in conjunction with other treatments for a more comprehensive approach.
2. Combination Treatments: In some cases, a combination of treatments may be recommended. For example, a patient might undergo fractional CO2 laser treatment followed by pulsed dye laser therapy to address both the texture and color of the scars. Additionally, intralesional corticosteroid injections can be used to help flatten raised scars and reduce inflammation.
3. Consultation with a Dermatologist: It is crucial to consult with a board-certified dermatologist or a qualified skincare professional who can assess your specific condition and recommend the most appropriate treatment plan. They will consider factors such as the size and location of the scars, your skin type, and any previous treatments you may have undergone.
4. Post-Treatment Care: After laser treatment, proper skincare is essential to promote healing and prevent complications. This may include using gentle cleansers, moisturizers, and sunscreen to protect the treated area from UV exposure. Following your dermatologist's post-treatment instructions will help ensure the best possible outcome.
5. Potential Risks and Side Effects: As with any medical procedure, there are potential risks and side effects associated with laser treatments. These can include redness, swelling, and temporary discomfort in the treated area. In rare cases, there may be changes in pigmentation or scarring. Discussing these risks with your dermatologist can help you make an informed decision about your treatment options.
In summary, effective laser treatments for raised acne scars on the nose include fractional CO2 laser, erbium YAG laser, and pulsed dye laser. A personalized treatment plan developed in consultation with a qualified dermatologist will yield the best results. Remember that patience is key, as scar improvement can take time, and multiple sessions may be necessary to achieve the desired outcome.
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