Seeking Dermatology Advice: Treatment Options for Facial Indentations

Hello, how can I assist you today?

Hello Doctor,
I have two small indentations on my face that have been present for about ten years.
I have heard that current treatments such as laser therapy or microdermabrasion have good healing effects and require a short recovery time, which does not significantly impact daily life.
Could you recommend a specialized hospital and physician? Is there any coverage from health insurance? If I were to pay out of pocket, what would the approximate cost be?
Thank you,
Mr.
Hsu from Taipei

morgan, 30~39 year old female. Ask Date: 2002/03/14

Dr. Jiang Zheen reply Dermatology

Hello, if the shallow indentations on your face can be treated with microdermabrasion, it may require 5-6 sessions to see results.
For deeper indentations, laser resurfacing is more effective and may only require 1-2 sessions.
The cost of laser treatment may be higher, but since your treatment area is small, it likely won't exceed NT$10,000.
Some major hospitals in Taipei, such as Cathay General Hospital, Mackay Memorial Hospital, and Shin Kong Wu Ho-Su Memorial Hospital, offer these services.
You can also check the Taiwan Dermatological Association's website at www.derma.org.tw for more information.

Reply Date: 2002/03/14

More Info

Dear Mr. Hsu,
Thank you for reaching out with your concerns regarding the facial indentations you have been experiencing for the past decade. It’s understandable to seek effective treatment options, especially when it comes to skin health and aesthetics.
Facial indentations, or atrophic scars, can be caused by various factors, including acne, injury, or other skin conditions. The good news is that there are several treatment options available that can help improve the appearance of these indentations.

1. Laser Treatments: Fractional laser therapy is one of the most popular treatments for atrophic scars. This method uses laser technology to stimulate collagen production in the skin, which can help fill in the indentations over time. There are different types of lasers, such as ablative and non-ablative lasers, each with its own recovery time and effectiveness. Generally, ablative lasers provide more dramatic results but require longer recovery periods.

2. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, which stimulates the body’s natural healing process and collagen production. Microneedling can be effective for improving the texture and appearance of scars.

3. Chemical Peels: Chemical peels involve applying a solution to the skin that causes the top layer to peel off, revealing smoother skin underneath. This can help reduce the appearance of shallow indentations.

4. Dermal Fillers: For immediate results, dermal fillers can be injected into the indentations to plump them up. However, this is a temporary solution, and the effects typically last from several months to a year, depending on the type of filler used.

5. Subcision: This is a minor surgical procedure where a needle is inserted under the skin to break up the fibrous bands that tether the skin down, allowing the skin to rise and fill in the indentation.

Regarding your questions about healthcare coverage and costs, in Taiwan, the National Health Insurance (NHI) may cover certain dermatological treatments, but this often depends on the specific condition being treated and the type of procedure. It’s best to consult with a dermatologist to determine if your indentations qualify for coverage under NHI. If you are considering self-paying for treatments, the costs can vary widely based on the type of procedure, the clinic, and the expertise of the dermatologist. For example, laser treatments can range from NT$10,000 to NT$30,000 per session, while microneedling may cost around NT$5,000 to NT$15,000 per session.

I recommend seeking a consultation with a board-certified dermatologist who specializes in cosmetic dermatology. They can assess your skin condition, discuss your treatment options, and help you create a personalized plan that suits your needs and budget.
In Taipei, there are several reputable dermatology clinics and hospitals where you can receive treatment. Some well-known institutions include National Taiwan University Hospital, Taipei Medical University Hospital, and private clinics specializing in dermatology and cosmetic procedures.

In conclusion, while there are effective treatments available for facial indentations, it is crucial to have a thorough consultation with a qualified dermatologist to determine the best approach for your specific situation. They will provide you with the necessary information regarding treatment options, costs, and potential outcomes.

Wishing you the best of luck on your journey to healthier skin!
Best regards,
Doctor Q&A Teams

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