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Best Laser Treatment for Hyperpigmented Scars?

I have tan-colored hyperpigmented scars from a surgery done many years ago. What would be the best scar laser treatment to fade them?

Doctor Answers (6)

Either a nd-Yag pulsed dye laser or a fractional laser (erbium or Co2) should help hyperpigmented sc


 Either a nd-Yag pulsed dye laser or a fractional laser (erbium or Co2) should help hyper-pigmented scars. We have been obtaining excellent results by combining the Echo 2 co2 laser and the Spectra laser form Lutronic.

Web reference:

Las Vegas Plastic Surgeon
5.0 out of 5 stars 35 reviews

Laser scar lightening with topical Melaquin AM and Melaquin PM creams beforehand


Hyperpigmented scars can be improved by combining laser and cream modalities, including Melaquin AM and Melaquin PM first, then performing laser treatment.

Web reference:

Los Angeles Plastic Surgeon
5.0 out of 5 stars 43 reviews

SCAR REVISIONS - hyperpigmentation


A simple surgical solution is scar revision for this mature hyperpigmented scar.

Follow the post operative recommendations very closely.


Dr. Carlos Cordoba
Plastic & Esthetic Surgeon
4055 Ste-Catherine O. Suite 100
Montreal, QC. Canada H3Z 3J8

Montreal Plastic Surgeon
5.0 out of 5 stars 6 reviews

Several options for hyperpigmented scars


Hi Fairlady,

Below are a few options in order of complexity and cost.

  • Hydroquinone Bleacing agents.
  • Q-switched Nd:Yg lasers. These are the same ones used for tattoos, sun spots, birthmarks, etc and are a much better option than the fractionated and pulsed dye suggestions. Fractionated Erbium and CO2 are designed for textural issues, wrinkles, acne scars, etc. not pigment.
  • Surgical Revision.

Go to a few consultations as you will have differing opinions regarding which treatment will work best for you based on your condition.

Web reference:

Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Treatment of Hyperpigmented Scars


I totally agree with Dr. Di Saia. Before embarking on expensive treatments which may not work, it is always best to try the simple options first and proceed with more complicated and expensive ones later.

No reason why you could not try Pro-fractionated resurfacing (see Sciton Joule, for example) AFTER an attempt at scar revision.

Dr. P. Aldea

Memphis Plastic Surgeon
5.0 out of 5 stars 52 reviews

Look at all the treatment options for hyperpigmented scars



I have seen people who came after having spent thousands on laser treatments who are improved by relatively simple scar revision surgery. Be careful you look into all options and get good advice before you choose a treatment path.

Orange Plastic Surgeon
5.0 out of 5 stars 22 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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