I have tan-colored hyperpigmented scars from a surgery done many years ago. What would be the best scar laser treatment to fade them?
Best Laser Treatment for Hyperpigmented Scars?
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.
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Laser scar lightening with topical Melarase AM and Melarase PM creams beforehand
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
MDCM, CSPQ, FRCS, FACS
Plastic & Esthetic Surgeon
4055 Ste-Catherine O. Suite 100
Montreal, QC. Canada H3Z 3J8
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Several options for hyperpigmented scars
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.
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
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