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Deep Scar Left From Pimple. What Are My Options?

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Had a really big pimple on my cheek, didn't pop it or anything, used benzyl peroxide (strong stuff), Went to the steam room hoping it would help bring the inflammation down and get all the junk out and hopefully reduce the size, it did all that but I think it aggravated my skin and caused this giant scar on my cheek. What are my options? Also what can I do about previous pigmentation issues and scarring? I've been using a lot of topical vitamin c serum on it but it's not doing much to fill the scar, just helps with blemishes.

eb4000d0-2.jpg

Edited by Operator

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Many say that egg white mask really lowers redness and lightens scars. Another option - vitamin A directly on the scar or you can use vitamins or eat food with it. This vitamin regenerates the skin. And another option is fish oil that is good for your skin overall. :) Read more in "Reviews".

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How old is it? From what I can see in your pic, it doesn't look that deep and it doesn't look that old. Everybody's different, but in my experience, sometimes scars just take awhile (as in several months) to even themselves out, so personally, I wouldn't mess with it surgically or chemically until after a year or so. In the meantime (while it's still healing) I would steer clear of using any chemical exfoliants or acne products (such as BHA, AHA, and esp. BP) near or on this wound, as I would be afraid to interfere with the skin's regeneration. But again, that's just my opinion. I have found that products like the Cerave AM and PM lotions, Paula's Choice Anti Aging Clear Skin Hydrator (which contains good concentrations of both niaminacide and vitamin c), and Skin Biology's Super GHK Copper serum to be really helpful in banishing redness and promoting healing (check out some interesting scar products here: http://reverseskinaging.com/index.html). I can't say anything about surgical options, as I've never done any of that, but I imagine you'll need to get a professional in-person opinion for that (it is too hard to tell from this pic). Also, start taking vitamin c orally in addition to the topical form, if you're not already.

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Don't take my word for it, use this as a basis for research

Dermastamp

TCA cross

Fillers (possibly)

Edited by Callum.

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Thanks guys, anyone with real life experience who has gone the surgical route? F'd up part is that I didn't have acne for a year or so and all of a sudden I broke out and left this giant scar.

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Your skin is OK. Your single scar will scarcely be visible when its pigmentation fades. After that, you can fix it with TCA cross or punch excision. Lasers are probably overkill and the 'natural' suggestions (eggs? lemon juice?) are highly suspect.

See a derm.

Edited by Aux03

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Well I went to see a cosmetic surgeon and he was suggesting silicone for my scars, I don't think that's something I want to mess with. Any experiences with this silicone 1000?

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7dc7192d.jpg

Here is a close up pic of the scar and also you get better idea of the surrounding scars. Any more suggestions would be appreciated.

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Guest Timehealsall

probably excising it could work.

I highly doubt btw that going to a steam room caused that pimple to scar.

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Don't take my word for it, use this as a basis for research

Dermastamp

TCA cross

Fillers (possibly)

Callum

do you know of a good quality dermastamp??

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Here is a pic of the scar one month later, I haven't done much to it expect apply vitamin c serum. Really trying o figure out what to do to diminish the appearance, any good fillers?

dbfcc07c-2.jpg

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I posted some pics on realself and this is what I got, not sure which to follow:

"A single deep acne scar may best be treated with simple excision. If a residual scar is left from the excision, laser scar revision may be able to blend the surgical scar. I would recommend extensive subcision and Fraxel Repair laser for the rest of this patient's scars. Some fillers may also be necessary to achieve the best results."

The large deep scars could be undercut ["subscission"] for example using the tip of a 16 ga needle.

Volume could be restored, for example by very controlled injections of Juvéderm® using a BD-!! 31 ga syringe.

Finally, fractional ablative laser [for example, Cutera's Pearl Fractional] could be used to turn on the repair and remodelling processes to improve the smaller scars.

I think I also see some deep, narrow ["icepick"] scars -- these might respond best to CROSS treatment using 90% TCA, administered every 2-4 weeks, maybe half a dozen times.

The treatment would depend on the scar's maturity. The scar can be released from the scar tissue pulling it down and dimpling it followed by filling with either fat or a filler such as fat, Restylane, Perlane, Juvederm or Radiesse. Surgical removing the scar and closing the depression with approximating the edges of the defect together is another option. You should consult a member of The American Society of Plastic Surgeons - wwwPlasticSurgeryorg to learn your options.

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Before you try filler, subcision or excision I would suggest saline injections. It worked for me. I had them done by a board certified Dermatologist. No new scars from excision and no injections of fillers.

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I posted some pics on realself and this is what I got, not sure which to follow:

"A single deep acne scar may best be treated with simple excision. If a residual scar is left from the excision, laser scar revision may be able to blend the surgical scar. I would recommend extensive subcision and Fraxel Repair laser for the rest of this patient's scars. Some fillers may also be necessary to achieve the best results."

The large deep scars could be undercut ["subscission"] for example using the tip of a 16 ga needle.

Volume could be restored, for example by very controlled injections of Juvéderm® using a BD-!! 31 ga syringe.

Finally, fractional ablative laser [for example, Cutera's Pearl Fractional] could be used to turn on the repair and remodelling processes to improve the smaller scars.

I think I also see some deep, narrow ["icepick"] scars -- these might respond best to CROSS treatment using 90% TCA, administered every 2-4 weeks, maybe half a dozen times.

The treatment would depend on the scar's maturity. The scar can be released from the scar tissue pulling it down and dimpling it followed by filling with either fat or a filler such as fat, Restylane, Perlane, Juvederm or Radiesse. Surgical removing the scar and closing the depression with approximating the edges of the defect together is another option. You should consult a member of The American Society of Plastic Surgeons - wwwPlasticSurgeryorg to learn your options.

Agree with all of this, except I don't think juvederm, especially since you don't know how your scars will respond to fillers. restylane is better since if you don't like it, it will go away sooner. I've also heard people say resty is better than juverderm because it doesn't migrate as much and I think they said it isn't so thick, which can be an issue. The scar you're circling is an ice pick and should not get a filler. It won't work. It will work (possibly) on the other rolling scars, though, like he said. This was a decent and accurate answer.

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Who are some good plastic surgeons that specialise in scar treatments, especially the kind I have right now? in the tristate area.

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Anyone? I am looking at a Doc in West Islip NY by the name of Joshua Fox, seems to know what he's talking about in regards to scar treatments. Also, can I use a copper peptide product on the scar tissue few months after or is it useless?

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TCA would address this in my opinion. Go to a qualified doctor and get done 100% TCA. I think you would get very good results after 3-4 sessions.

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