Vaser Liposuction: Q&A
Ask a QuestionDark Spots and Keloid Scars After VASER Liposelection and Laser Liposuction
I'm a 29-year-old African American woman. I had VASER Liposelection and Laser Lipo in November, and I now have keloid scars and dark spots. What can my doctor and I do to correct these?
Tags:
8 Doctor Answers |
Asked by
america
in detroit, mi
+1
Dark spots and ugly scars after VASER Liposelection and Laser Liposuction
Unfortunately, in many darker pigmented people even minor trauma results in darker scars. (Look at the forearms of women - you will frequently find short lines from either cooking oil splatter or scratches). This means that EVERY cut, regardless of the mechanism, may in such predisposed people result in darker spots / linear scars.
It does NOT help if such skin is exposed to friction / heat or the Liposuction openings are NOT stitched properly or left open to heal by themselves. As a...
more
+1
Keloid scars and hyperpigmentation
True keloid scars can be treated by a number of different procedures, including application of silicone, pressure, and injection of TAC. Hyperpigmentation can be improved with judicious use of cortisone based creams, topical retinoids, and prescription skin lighteners.
I would recommend the Melarase AM cream for hyperpigmentation.
+1
Aggressive approach is best for keloid scars
Hi there,
In my experience treating patients with your skin type for problem scars, taking an aggressive approach right off the bat is most likely to result in patient and doctor satisfaction.
This would involve excision of the problem scar, repair using an alternative technique to that initially used, and topical treatment with silicone tape, Scarguard, or some other similar option.
This almost always gives a significantly improved outcome, although it does require the excision.
Good luck....
more
You might also like...
Real Stories
Concerned About Bruising & Hardened Skin with Layers - Bangkok, Thailand
I have done Vaser Lipo exactly 25 hours prior to this writing. Firstly, I would like to...
+1
Dark spots after VASER
The dark spots, I assume, are at the port sites of the VASER. The darkness can stay for a while, sometimes as long as a year or more. If your scar is truly keloidal, then there are multiple modalities for treatment that can vary using re-excision, steroids, and a combination of the two among many other options. If they are just hypertrophic, they sometimes can be treated as I mentioned for keloids, but you can add compression and silicone sheeting.
+1
You need compression, steroids, time
Seems like hypertrophic scars. I would start with compression and intralesional injection of dilute steroids. There are more agressive treatments but this will be a good start.
Make sure you mention this in the future before any surgery.
+1
There may be hope for Keloid and Dark Spots
Given the dark pigmentation of your skin, yes, you are already at higher risk for such issues. The keloids, I would assume, are from the incision scars. What can be done is several things.
I have used silicone sheets over such scars, and I have injected the scars with steroids, in particular Kenalog. Scar massage by yourself may also help as well.
As far as dark pigmented areas, hydroquinone may help, which is a bleaching cream in essence. You have to be careful in your case to not...
more
+1
Steroids may help
The keloids may be from the incision or the heat generated from vaser. A keloid is a raised thickened scar that is actually larger than the original cut.
Steroid injections may help it settle down and soften. Time may also help. The down side to the steroids is that they can thin the skin, and cause loss of pigmentation. Other ideas may include silicone sheeting, compression garments, massage.
+1
Keloid versus Hypertrophic scars
There is a big difference bewtween Keloid and Hypertrophic scars
Hypertrophic = large thick scars
Keloid = grow beyond dimensions of initial injury
It is most likely you have a hypertrophic scar. This may stay thick for up to two years before softening.
General non-surgical scar therapy includes:
Time for scars to resolve (up to two years)
Pressure treatment
Topical silicone gel sheeting or silicone preparations (many options available)
Avoidance of sun exposure
Intralesional...
more
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.
Comments (0)