HOME » Scar Treatments

Scar Treatments

Options for Scar Treatment in Los Angeles

Dr. Raffy Karamanoukian is a Beverly Hills and Santa Monica plastic surgeon specializing in breast augmentation, breast lift, breast reduction, and breast implant revision.  He is the author of a book on Capsular Contracture and ways to minimize your risk of developing the condition.  To schedule a consultation with Dr. Raffy Karamanoukian for cosmetic breast surgery, please call our office at (310) 998-5533 and speak to our patient coordinator.  We look forward to meeting you in our Los Angeles plastic surgery clinic. 

There are many different types of scar revision techniques that we use in our Los Angeles plastic surgery office. We specialize in scar revision and often use more than one modality of scar treatment at one time. If you feel that you are a good candidate for surgical or non-surgical scar revision, our office provides leading treatment options for your scar problem. We treat minor scars and major scar deformities on a routine basis. 

Acne Scar Treatments: The depth and severity of acne scars will determine the type of acne scar treatment that Dr. Karamanoukian will recommend for you. Acne scars can be keloid, hypertrophic, or atrophic, depending on the mechanism of scar formation. Atrophic acne scars are very common and respond well to skin resurfacing using laser or RF sublation. In our office, the Fraxel, fractional CO2, Ematrix, and Erbium lasers work well to reduce acne scarring. Pigmented acne scars respond well to chemical peel scar removal and depigmentation using Melarase creams. Other suitable options for acne scars include subcision, TCA Cross, acne surgery, and punch grafting. 

Dermatologic Treatments: Much is being researched about topical treatments for scar modulation and treatment. One of the most studied involves the use of polysiloxane topical therapies for scar treatment in post-surgical and post-traumatic scars. Hypertrophic and keloid scars respond well to polysiloxane silicone gels massaged onto the skin. In our office, we advocate the use of Plato's Scar Serum twice daily to scars immediately after injury or after surgery. Application of the serum involves placement of a raindrop sized portion of Scar Serum onto the scar. The serum is massaged into the skin and allowed to absorb into the skin until a very light film is seen over the scar. Plato's Scar Serum is superior to silicone patches on irregular surfaces, active zones of the body, and on children as there is a higher level of compliance with the gel form as opposed to an adhesive patch. 

Ematrix Fractional Treatments: A new wave of technological advancements has made the treatment of scars much easier. Unlike lasers, Ematrix uses radiofrequency to work deep within the skin to induce collagen formation. Ematrix is especially useful for atrophic acne scars that require skin recontouring. The treatments with Ematrix are fractional and work within the dermis. Many patients prefer Ematrix because there is less downtime when compared with fractional lasers such as Fraxel or CO2. 

Ematrix fractional in Santa Monica with the leading acne scar doctor in Los Angeles

Layered Closure: Embryologically, the skin and soft tissue develops in specific parallel layers. Skin trauma, lacerations, and surgical incisions can sometimes destroy the positioning of these soft tissue layers, creating tethered, indented, or discordant scars that do not look visibly attractive or normal. A technique known as layered closure attempts to recreate the normal soft tissue layering by excising a scar and releasing its fibrous attachments and then resuturing the scar so as to reapproximate the different soft tissue layers. This scar revision procedure is very common on the face and abdomen in order to improve surgical scars. The most common tissue layers that are approximated include the fascia, fatty subcutaneous layer, deep dermis, and superficial dermis. Once a layered closure is complete, a combination of external sutures, steri-strips, pulsed dye laser, and application of Plato's Scar Serum can help modulate scar recurrence. 

Microdermabrasion for Scars: Microdermabrasion can improve skin quality overlying scars and keloids. Superficial skin discoloration and epithelial slough can accumulate on the surface of a scar, causing it to become visible. In our Santa Monica scar clinic, we use microdermabrasion and enzyme dermabrasion to remove surface impurities on the skin and reduce skin pigmentation overlying a scar. Microdermabrasion can work well to improve skin quality of scar tissue. In some cases, lymphatic massage and hydrafacial vortex extraction can also be used to help reduce scar tissue visibility. 

Pulsed Dye Laser: The pulsed dye laser is a vascular laser that can target redness in the skin and thick collagen deposits within scar tissue. Dr. Karamanoukian utilizes the pulsed dye laser for several types of scars, including red scars, fresh scars, stretch marks, keloids, hypertrophic scars, and surgical scars. The pulsed dye laser can be titrated to soften existing scars, reduce scar inflammation, and decrease scar bulk. Application of the pulsed dye laser is appropriate for fresh scars or old scars. If you are considering scar treatment with Dr. Karamanoukian in Santa Monica, he will likely incorporate the pulsed dye laser in your scar protocol, if appropriate. 

One of the settings for the pulsed dye laser produces bruising, whereas the lighter setting does not. Discuss your concerns for scar treatment with Dr. Karamanoukian and he will help you identify the right laser scar treatments for your particular skin type, ethnicity, and scar type. 

Soft Tissue Fillers: In the last decade, there have been major advancements in the use in stimulatory and volume fillers for scar revision. These fillers are primarily used for volume-deficient or atrophic scars in patients who have surgical or traumatic scars. Soft tissue fillers can be autologous and can be comprised of your own purified fat; or can be commercially-available fillers such as Restylane, Juvederm, Radiesse, Sculptra, Perlane, Voluma, and Belotero. These fillers are often made of hyaluronic acid or collagen and last for about one to two years. The most recent advancements in filler scar revision have been to correct major rhinoplasty scars and deformities with hyaluronic acid fillers. 

Stimulatory Fillers: If you have a scar that is mildly atrophic or indented, you may be a candidate for a stimulatory filler injection. The two most common types of stimulatory fillers are Radiesse and Sculptra, which act to stimulate your skin and soft tissue to make collagen. In doing so, areas of hollowness can thus be improved over time, resulting in a gradual improvement over time. The benefits of stimulatory fillers such as Radiesse or Sculptra are that the improvements in contour can be made gradually and with a more natural appearance. 

Dr. Karamanoukian is an expert in the use of stimulatory fillers for the correction of scars and contour problems. In some cases, Radiesse and Sculptra can be used to improve mild liposuction scars that have left ripples in the skin. 

Tattoo Removal: The Q-switch laser can help reduce tattoo color and scar color. Depending on the wavelength of laser used, Dr. Karamanoukian can use the Alex Trivantage laser to help reduce scar color with the tattoo removal laser. In some patients who have scars related to their tattoos, Dr. Karamanoukian can use the laser tattoo removal equipment to safely reduce skin tattooing and ink. Innovations in laser technology also allow Dr. Karamanoukian to remove gravel tattoos from road rash in certain types of scars.

If you are considering tattoo removal but do not want to undergo the treatment in a clinic that does not have a dedicated physician on-site, Dr. Karamanoukian can treat your tattoo himself and minimize scarring potential. Tattoo removal with laser has advanced tremendously and the new Alex Trivantage can help you achieve your tattoo removal or tattoo lightening goals with minimal risk of complications. 

Laser tattoo removal in Santa Monica with the leading laser center dedicated to tattoo removal, scar treatments, and plastic surgery.

Tissue Expanders: Sometimes the amount of skin overlying a scar may be insufficient, causing the skin to tether or pull. We see this often in burn patients or in plastic surgery patients who have undergone too much skin excision during cosmetic plastic surgery. In these cases, our scar revision expert Dr. Raffy Karamanoukian employs a technique of tissue expansion to stretch out the normal skin adjacent to a scar. Once the normal skin is stretched, the unwanted scar is excised and the redundant tissue-expanded skin is used to repair the defect. Tissue expansion is an excellent modality for scar revision for burns, mastectomy scar reconstruction, and for skin-deficient scars. The major downside of tissue expansion is that multiple procedures are required for complete scar revision. 

Z-Plasty Scar Revision: A z-plasty is a popular type of scar revision technique that plastic surgeons group under the category of geometric scar treatments. In this purely surgical technique, small skin flaps are created on either side of a scar in a geometric and asymmetric fashion. The scar is then cut out and the skin flaps are interposed in order to lengthen an incision to release scar contracture, or to create a non-linear scar pattern in order to make a scar less visible. Geometric scar treatments include a Y-plasty, W-plasty, and combinations of the aforementioned. Dr. Karamanoukian is a top expert in scar revision and can custom tailor a geometric scar revision procedure to improve your scar. 

FAQ About Scar Treatments: 

Q: Does laser scar removal work? A: Lasers are an important part of non-surgical scar revision and can do a lot to improve skin contour, texture, color, and tone. There are different types of lasers used by Dr. Karamanoukian in his Santa Monica plastic surgery practice, including ablative, non-ablative, and fractional lasers. Lasers are excellent for skin resurfacing and for stimulation of collagen production. There are many benefits of lasers for scar revision including improvements in texture, color, tone, size, volume, inflammation, redness, and rubor. 

© Copyright 2015. KeloidExpert.com. All Rights Reserved.
Go Top