TABLE 5.

Procedures to select/recommend by lesion type

ICE-PICK SCARS

Punch excision

CROSS chemical peels

ROLLING SCARS

Subcision

Filler injections directly underneath scars

Fractional laser therapy

Skin needling

BOXCAR SCARS

CROSS chemical peels (for small lesions)

Punch elevation

Fractional laser therapy

Skin needling

Focal dermabrasion

Punch excision (for narrow, deep lesions)

Elliptical excision (for larger lesions)

MACULAR GRADE 1 SCARRING (REDNESS, HYPOPIGMENTED OR HYPERPIGMENTED)

Skin needling

Fractional ablative/nonablative laser

Nonablative laser for pigment (erythema or hyperpigmentation)

ReCell (in future)

FIBROTIC OR DEEP, HYPOPGMENTED SCARS

Excisional techniques