Barry E. DiBernardo, M.D.
About 4 years ago, I peeled off some big acne scabs on my face which has resulted in several white scars about the size of a dime. I have been considering some skin resurfacing but only find information about removing dark spots. Is there any procedure out there for darkening white spots? Some of these scars are recessed. Can dermabrasion, chemical peels or laser help even out the holes left in the face?
This is an example of why it is not a good idea to “pick at” scabs on the face. What has occurred is that the wound had penetrated to the deep dermal layer of the skin, which is the layer forming scar tissue and hence the depression. The cells forming the skin’s pigmentation have also been destroyed. There are now two problems to address: 1) depressed skin and 2) hypopigmentation (loss of skin color). There is a laser at 290-320nm called the “Relume” by Lumenis (Lumenis.com) which can restore pigment in an area. A simpler approach, of course, is just to use make-up. The depression can be raised with a filler such as Restylane, or one could attempt to build up collagen in the area with a laser called the “Titan” by Cutera.
Is there a cosmetic surgery procedure that will remove port-wine stains effectively?
Yes, the light based techniques and lasers specific for these blood vessels can be very effective, although it may require many treatments depending on the lesion.
I am a 55 year old female and have deep lines all around my mouth. What is the best procedure to get rid of these?
Lines around the mouth at 55 years of age are quite common. With today's technologies, we have a number of different venues which could work alone or in combination. There is no good surgical treatment for this. Non-surgical options include: Botox, in small amounts to relax the muscles, lasers to smoothen the skin and/or build collagen, and injectable fillers to "fill" the lines which is probably the most popular method at this time.