Can dermatologist remove my birthmark by scraping it off? Do I need surgery? What about laser? Rather a scar than that. (photo)

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

This particular birthmark appears to be fairly flat, which makes it not ideal for curettage (scraping). You might be able to see some lightening of it with laser, but the best way to remove it would be a simple surgical excision. If done right this will leave you with a fine linear scar that will fade with time. Best to get a formal consultation with a board-certified plastic surgeon to review your options. Best of Luck!