Brief Answer:
A scar can be improved cosmetically however it is not possible to erase it

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

I have gone through your query and I have understood it.

Scars can only be made to look better cosmetically, though it is not possible to completely erase a scar.

The choice of procedure and how well a scar improves would depend on factors like:
-size of scar;
-appearance of scar, whether it is raised or atrophic(depressed);
-orientation to RSTL (Relaxed skin tension lines),
-whether it is skin colored or hyperpigmented;

I would like to request you to upload a digital photograph of the scar so that I am able to guide you better.

Various procedures that can be done are Scar revision (i.e excision and primary suture); steroids injections; microdermabrasion; dermarolling; resurfacing with a fractional Co 2 Laser etc.

Regards

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Brief Answer:
Primary incision followed by suturing along RSTL

Detailed Answer:
Hi.

I have reviewed the Images.

In the Image I can see a horizontal, atrophic/depressed, wide scar.

The appearance can be improved by placing a fine/thin new scar in place of this wide scar.

By this I mean, giving an elliptical incision around the length of scar (horizontally/longitudinally) so as to create new edges which can then be closely approximated with a suture.

This will give you a fine/thinner, horizontally oriented, linear scar as compared to the present one which is wider horizontally oriented linear scar.

So, the final scar that you will get will be a much finer/thinner, linear scar, oriented horizontally. Basically the width of the scar would be reduced so that it will be less noticeable, however, the length of scar would remain the same.

I would suggest you to take an opinion of a plastic surgeon as well, regarding the same.

Regards

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Brief Answer:
Contact a cosmetic& plastic surgeon

Detailed Answer:
Hi.

With this technique the width of scar will be reduced so that the final scar is a narrow fine line. There would be no particular side effects with this technique.

Subcuticular sutures are preferable on face for a better cosmetic result.

You may contact Dr, Surindher from banglore by following this link: http://doctor.healthcaremagic.com/doctors/dr-surindher/61755

Regards

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Brief Answer:
Dark circles are difficult to treat

Detailed Answer:
Hi.

yes, dark circles is a difficult proposition to treat because darkening in most cases is not actually not due to excess pigment as is commonly believed.

Various factors may have a role to play in causing dark circles.

-Hereditary seems to play a significant role in dark circles. In allergy prone individuals, a condition or state of 'atopy' exists & these atopic individuals more often than not manifest with 'dark circles' under the eyes.

-Dark circles also depends a lot on your lifestyle pattern--diet, sleep, computer / TV use and stress.
Stressors/ Eyestrain due to working for long hours on computers & lack of sleep play a major role too as do lack of regular and adequate sleep (6-8 hours).

-In some individuals dark circles may be due to thin under eye skin Or excessive subcutaneous vascularity; thin skin makes the blood in the blood vessels shine through and hence this appears dark.

-Another important cause of undereye dark circles is Iron deficiency Anemia specially in females.

-Other causes like skin laxity, dry skin, hormonal disturbances, nutritional deficiencies, and other chronic illnesses can also cause dark circles.

Skin lightening creams containing glycolic acid, kojic acid, Vit C may be helpful in reducing the appearance of dark circles.

Glycolic acid and Arginine peels are the two commonly used peels by dermatologists for undereye dark circles. You can try a few peeling sessions (6-8 sessions).

As can be judged from some of the reasons cited, good hydration, regular 6-8 hours of sleep, addressing stressors and a multivitamin and Iron supplement by themselves will go a long way in correcting this issue

Regards

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