What else can I try for scar hyperpigmentation from tummy tuck several years ago? (photos)

Question

I have darken scars from a tummy tuck several years ago and have done 3 sessions spaced 6 weeks apart with the PIQ04 laser to reduce the hyperpigmentation. The scar is pretty flat, not very hypertrophic, and there has been no change in the hyperpigmentation. I’m not sure if I should continue with the laser or try something else since there has been no change. Triluma didn’t work, it irritated my skin and seemed to darken the area.

Edwin C. Pound, III, MD · Answer

It generally takes about a year to a year and a half for a scar to fully mature.  Since your procedure was done several years ago, non-surgical modalities such as scar creams, lasers, microneedling, etc., may not work anymore.  Re-cutting and re-suturing the scars might be your best bet followed by use of those other non-surgical things on the fresher scar.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Improvement can be had with a number of different options and the key is to identify your major area of concern.  If only the hyperpigmentation I would consider a straight lightening cream because although Triluma did not work the retinol in it was possibly the cause of your irritation. There are also other laser treatments and chemical peels that can be performed to help with PIH.  If the thickness of the scar is causing some of your concern then a scar revision would be a possibility.

Timothy Treece, MD, FACS · Answer

My suggestion would be the usage of Laser.  Broad Band light Laser with a combination of profractional, has been used several times on our patients with wonderful results.

Robert E. Zaworski, MD (retired) · Answer

It appears from your photos that your scars have not totally matured.  Scar revision may be a good option for you.  At this stage, the tension of the skin will be less and revision could give you a much better result.  Discuss this option with your plastic surgeon.

What else can I try for scar hyperpigmentation from tummy tuck several years ago? (photos)

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Answer: What else can I try for scar hyperpigmentation from tummy tuck several years ago?

Answer: What else can I try for scar hyperpigmentation from tummy tuck several years ago?

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What else can I try for scar hyperpigmentation from tummy tuck several years ago? (photos)

Answers (4)

Answer: What else can I try for scar hyperpigmentation from tummy tuck several years ago?

Answer: What else can I try for scar hyperpigmentation from tummy tuck several years ago?

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Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.