staystrong88 0 Share Posted March 17, 2014 I going to the derm few days for acne scars. I've been researching and excision seems really good for the scars i have ( many ice picks, rolling, depressed) The derm is an old guy with 30+ years experience with cosmetic dermatology for his practice. I been reading that a plastic surgeon is better for these treatments. Since the derm im going to has cosmetic practices, will he be okay for the procedure if he recommends it? Quote Link to post Share on other sites
LeadingForce 96 Share Posted March 17, 2014 dont know what your scar looks like cant really give a opinion Quote Link to post Share on other sites
Binga 150 Share Posted March 18, 2014 Go to a surgeon. Subcision with a filler works best for scars. Quote Link to post Share on other sites
yanagupta 8 Share Posted March 18, 2014 Scars can go away by treating them non-surgically as well. Have you given a thought to it? Quote Link to post Share on other sites
*Inspired* 135 Share Posted March 18, 2014 Doesn't matter if your doctor is a plastic surgeon or dermatologist. Just make sure your doctor has adequate experience treating acne scars with the procedure. Personally, I would approach an experienced dermatologist for punch excision or subcision before a plastic surgeon. Chances are they've done the procedure much more frequently than a plastic surgeon. If I were seeking a procedure like Z-plasty to relocate or minimize a disfiguring scar, I would first look for a qualified facial plastic surgeon but I would also consider a derm who is experienced with the procedure. Subcision and fillers rarely improve ice pick and boxcar scars. This procedure makes sense for rolling scars where the skin is simply tethered and still shares the same texture as surrounding skin. Quote Link to post Share on other sites
LeadingForce 96 Share Posted March 18, 2014 excision for ice pick scars subcision and fillers for rolling scars Quote Link to post Share on other sites
