About 2 1/2 months ago, I grazed my leg but really badly, the wound was surprisingly deep. It healed after 2/3 weeks but I knocked it again and the new skin was peeled back. I now have an oval raised scar on my leg which is dark purple and very noticeable. How long will it take for it to turn white and will it stay risen? Is there anything I can put on it to help it heal? Creams? Laser? I heard there is a laser that helps stretch marks so surely there is one to help scars?
How to Get Rid of Dark Purple and Raised Scar?
Doctor Answers 6
Scar treatments using vascular laser
Most fresh scars appear reddish in color as this is a sign of wound healing and new collagen production. Sometimes this healing can be excessive and a hypertrophic or keloid scar can develop. Without seeing a picture of your scar it would be difficult to comment on it. This type of excessive healing or scar formation doesn't begin before 6 weeks from your injury. Most likely you are healing normally. In the event that you are forming scar tissue, vascular lasers such as KTP or pulse dye are very helpful when the scar is still in its red stages. Once it matures and turns white, other lasers such as Fraxel work well to blend the scar with the surrounding skin.
Using mederma or silicone gel helps a fresh scar heal even faster lowering the risk for poor healing. You can begin this immediately if you are concerned. Consult with your plastic surgeon-dermatologist.
Ran Rubinstein, MD
Scars and wounds
It is hard to tell what the scar will finally look like, but most usually fade over time turn red initially and then become white afterwards.
Time heals all wounds
- Silicone gel sheeting has been shown to help prevent discoloration and hypertrophy of the scar.
- Steroids injections can help with already hypertrophic scars.
- Lasers (pulse dye, Fractional) can help with discoloration.
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Traumatic scars can take up to 18 months to heal
While scars from trauma can take a long time to heal, there are measures you can do to improve their appearance. The most important thing to do is sun avoidance or wear sunscreen. Secondly, topical creams like mederma or silicone gels and sheeting can help. Thirdly, vascular laser treatments can help scars to mature quicker and often result in a better appearance by taking the darker color out of the scar. Finally, steroid injections can help their appearance as well. If all else fails, they can be surgically revised after about six months to a year.
Treatment for a purple raised scar
On its own the scar will remain purple for 6 months to one year or more. It will usually flatten down but may not do so completely. The best and and least invasive treatment is with an Intense Pulse Light (a laser like device) or with a Pulse Dye Laser, either of which will improve the color and thickness in several treatments which have little or no down time.
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.