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Can a Mild Chemical Peel be Used to Reduce Periareolar Scar Hyperpigmentation?

I am 6 months post-op from gynecomastia treatment. My surgeon used a peri-areloar incision to remove both glandular tissue and perform liposuction. The scar was kept under pressure for over 2 months and was massaged daily for about 3-4 months. Overall it has healed rather well. There is a small degree of hyperpigmentation on the edges of the scar. I think the scar would be virtually unnoticable if it weren't for the hyperpigmentation. Is a very mild chemical peel safe? Will it help?

Doctor Answers (3)

Chemical Peel for Hyperpigmentation of Scar

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Scars take a good 12-18 months to get to their final color. Redness usually fades and the brown hyperpigmentation starts to fade.  I would recommend starting with some type of fade cream, such as a 4% hydroquinone that your plastic surgeon can perscribe..  If that does not work then a Vi-Peel or TCA peel might be helpful.  Good luck.

Seattle Plastic Surgeon
5.0 out of 5 stars 95 reviews

Scar at 6 months

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It is quite common to have some redness or hyperpigmentation that may last up to a year and sometimes longer.  Sometimes IPL can help.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

This skin will not tolerate this peel.

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To get rid of hyper pigmentation, the chemical peel must penetrate into the skin deep enough to reach the pigment.  The peri-areloar skin will not heal well from this type of treatment.  You might considered having non ablative laser treatment to help this.  Look for a dermatologist who has a broad array of lasers in their practice.  This allows them to choose the right tool for the job.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 19 reviews

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