So, I went to two reputable surgeons in my area to get their opinions on my best options. Murphy's Law--I made the appointments and then as I waited, I decided not to mess with the scar. Almost immediately, I started noticing it improving. (I had been microneedling the spot every two weeks with a 0.5mm stamp for the past two months.) There was certainly improvement between the time I scheduled and the appointments.
They both had the same opinion...it's really not that noticeable. I could do nothing. They do understand how I feel though...that it bothers ME. Their suggestion, if I really wanted to do something, was NOT to attempt anything that required cutting like excision, scalpel or punch. Even subcision is a bad idea--the risks of further scarring and lumps, etc...the outcome would likely NOT be better looking than what I currently have. They also both steered away from any aggressive laser treatments. They didn't think they would provide improvements that would justify the costs or trauma.
They both recommended that I stick with microneedling.
I do have to say, Dr. Glaser in Chesterton, IN was really good. He listened well and addressed all my options and questions. Even though my small scar is not a money-maker, he took his time and was very attentive and thorough. Also, his office offers RF (Secret RF), whereas the other is just a Dermapen.
I have decided that I am going to proceed with the Secret RF treatments. I have my first one next Thursday afternoon. They are going to go ahead and do my whole face. I'm kind of excited....when I look back over the past year--my skin has responded well and I've seenpretty significant improvement with just home DIY microneedling...so I am hopeful that the boost of a professional RF treatment will provide me the results I've been seeking. (I would like to note: the scar will be two years old in May.)
Wish me luck!