Question:

Hi Dr. G.,

I asked you previously about radiofrequency mole removal. 3 months later I have come to accept that I have a hypertrophic scar (flat/level with my skin). I'm wondering if anything can be done about this?

Answer:

About the only option is to have it cut out and that would change it to a linear scar rather than a circle. It would be slightly longer than the diameter of the round scar. Hopefully it is in a place where the scar will align with muscle tension to make it heal well.

Question:
Answer:

It is still going through the healing process but it may never return to its normal appearance

Question:

Hi Dr. G.,

I apologize for asking you again about my radiofrequency procedure. I thought I may have exhausted all the possible questions to ask. I do have one more.

I am coming to accept that I may have a hypertrophic scar. I have been using silicone gel sheets for the past few days. I'm hoping to flatten the scar. I am lucky in that it's quite small and already blends in, in terms of skin level. It's still troubling to me that this even happened. 

My question to you is this: If the 'scar' is both small and almost flat - should it be getting pink/reddish still after 2 months post-op?

Shouldn't this be blending in better? It's not huge or anything. When I look at it up close and VERY lightly stretch the skin around it, it almost vanishes. 

Answer:

I am afraid it can take up to one year for total healing to occur with the technology they chose, have to wait it out. Sorry

Question:

Hi Dr. G,

This is my last question about my radio frequency mole removal issue. 

I can take the harsh truth, which is what I value in your opinion (I've actually been asking you various questions for years, back when you first started this portion of your website; back then an old version of the site).

I understand that wound remodeling can take time, however, given my description of the wound-site post-mole removal: do you think the elevated skin of pink/reddish hue is just an example of inflammation and continued healing? Or is it a hypertrophic scar?

Answer:

if the scar is soft, it is not hypertrophic. A normal healing scar will be soft, but normal healing, hyper and hypotrophic scars can have the same colors, hope that helps.

Question:

Hi Dr. G,

Sorry, this is my last question about radio freq. ablation mole removal. My wound never scabbed. I applied petroleum jelly over the wound throughout the first month+ post-op. I'm now @ about 2 months post-op. Is there any benefit to applying petroleum jelly and covering the wound site? It is closed and not oozing and not raw looking.

It's basically slightly depressed/indented around the old site of the mole. The old mole site is now full of slightly elevated skin that is somewhat pink in color and somewhat shiny (resembling a hypertrophic scar; however, it is still quite flexible and not hard at all. I have healed to normal from injuries that have passed through this 'phase' in the past so I'm hopeful.)

 

 

Answer:

Vaseline will do nothing to help your issue, so you can stop it.What you are seeing is an atrophic scar and not a hypertrophic one. It is healing, slowly, and still needs to heal in the deeper layers as the superficial area is closed. I cannot predict the length of time it will take to fill in, could be months though. Wish I could speed it up for you

Question:

Hello Dr. G,

In other words, is it normal for the treated skin to endure the 'pink' and 'shiny' phase for more than 2 months? I previously asked you about the time it would take to 'fill in' (if there were an indentation). 

What I'm seeing now is that the site of my mole is replaced with a slightly elevated pink + shiny patch of skin. The skin is slightly flimsy, not hard. It resembles the surrounding skin's color but the texture is dissimilar. I'm post-op 44 days.  

I remember once in the past having a similar healing outcome (pink + shiny + elevated to all normal within several months) after superficial excoriation of abrasion accidents. 

Answer:

unfortunately that is part of the downside to using radio-frequency. The hotter or stronger the energy used, the greater the injury to the skin. It is a matter of heat that causes the problem and that can cause some temporary fat loss below the skin. In most cases all goes well if proper settings are used. The higher the energy used, the longer the pinkness and thinness will last. The texture will take time to regain its normal appearance due to the technology utilized, but it will get better.

Question:

Hi Dr. G,

Merry Xmas! 

I asked about radiofrequency ablation mole removal previously.

I had this procedure done 5 weeks ago. I felt my doctor was too aggressive. The mole was quite small but rectangular. Post-op, there was a halo of black charred skin. Over the first initial days the indentation was cavernous and pink. The wound edges were swollen. These issues have since resolved.

There is no swelling at the wound edges. The inner area of the wound side is slightly elevated - my thinking is that this is a very very slight hypertrophic response because it is where the mole was. This extremely slight hypertrophy is also faintly pink. I believe the color will normalize though. The healing process has been by secondary intention. No scab formed. I used petroleum jelly to keep it moist.

But now at 5 weeks post-op I notice that there is a concave indentation around the inner wound site. I am worried that the indentation is permanent because the ablation depth was clearly not superficial. Whiel it looks miles better than post-treatment, the subtle differences in skin level is very noticeable. I imagine this may soften over time.

But is it possible that given that the immediate area within the confines of the concave shape is still slightly of pink hue - that this may 'fill in'?

I suppose it's wishful thinking. Ty

Answer:

What you are going through is normal with that technology. It can take 6-12 weeks for it to fill in though,  got to hang in there a bit longer. Merry  Christmas to you and yours

Question:

Hi Dr. G,

Happy Thanksgiving!

I recently (7 days) had radiofrequency ablation of a small mole. The inner portion (where the mole was) looks healed (keyword: looks). The surrounding skin however is pink and raised slightly. It had previously been black (charred-like from the ablation.

As I understand it, this is an inflammatory response to the ablation so the halo of pink raised skin should be temporary? Is this just part of the healing process? Thank you

Answer:

what you are seeing is all normal, the center part will shrink as the periphery contracts and shrinks. It will take a little time but it should heal well.

Question:

Thermi Tight vs Profound

Answer:

I believe ThermiTight is a safer procedure but do not expect any significant change. In most cases the effects are mild at best..

Question:

Dr. Garcia:

I have had orthopedic issues with both shoulders in the past 3-4 years.  This coupled with the natural aging process, I have noticed in the last year a moderate amount of crepey upper arm skin, which I assume must have quite a bit to do with loss of muscle, some sun damage and loss of collagen.  What have been the results for this issue utilizing the ThermiTight system? 

 

Answer:

I agree with your thoughts on the causes. I do think you will get some improvement from the ThermiTight, but not super dramatic. The problem is there is not much else out there to help that area.

Question:
Answer:

The fat loss is related to the amount of energy and heat applied as well as time. Being able to monitor time and internal temperature as well as skin temperature makes having fat loss a choice. By hat I mean if you want to break up some fat it can be set to do that, or it can be set to not do that also. My preference is ThermiTight for that.