This appears to be a mature post-surgical scar, and since it has been present for many years, topical treatments or repeat surgery alone are unlikely to give significant improvement. Fractional CO₂ laser is one of the best options for such scars as it works by remodeling collagen and gradually improving texture, thickness, and visibility of the scar.
Next Steps:
• Start fractional CO₂ laser sessions (usually 3–6 sessions at 4–6 week intervals)
• Combine with topical silicone gel/sheet for better results
• Strict sun protection (SPF 50+) to prevent further pigmentation
• Consider adjuncts like PRP or microneedling if advised by your dermatologist
• Avoid opting for repeat surgery unless specifically indicated, as laser is less invasive and more predictable for cosmetic improvement
Helpful Tips / Word of Caution:
• Expect gradual improvement, not complete removal of the scar
• Mild redness/peeling can occur after laser and usually settles in a few days
• Consistency with sessions is key for best results
Fractional CO₂ laser is currently the most effective and preferred option for improving old scars
Answered2026-03-31 11:26:59
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