Best Laser Treatment for Hyperpigmented Scars?

Hyperpigmented scars can be improved by combining laser and cream modalities, including Melarase AM and Melarase PM first, then performing laser treatment.

Hi Fairlady,
Below are a few options in order of complexity and cost.

Hydroquinone Bleacing agents.
Q-switched Nd:Yg lasers. These are the same ones used for tattoos, sun spots, birthmarks, etc and are a much better option than the fractionated and pulsed dye suggestions. Fractionated Erbium and CO2 are designed for textural issues, wrinkles, acne scars, etc. not pigment.
Surgical Revision.

Go to a few consultations as you will have differing opinions regarding which treatment will work best for you based on your condition.

Melarase AM and Melarase PM are excellent topical creams to reduce hyperpigmentation. I also recommend a broad spectrum high SPF (50+) sunblock to prevent ongoing damage. Spectrase is available from VenaSmart.H Karamanoukian MD FACS

A simple surgical solution is scar revision for this mature hyperpigmented scar.

Follow the post operative recommendations very closely.

 

Dr. Carlos Cordoba
MDCM, CSPQ, FRCS, FACS
Plastic & Esthetic Surgeon
4055 Ste-Catherine O. Suite 100
Montreal, QC. Canada H3Z 3J8
514-932-7667

I totally agree with Dr. Di Saia. Before embarking on expensive treatments which may not work, it is always best to try the simple options first and proceed with more complicated and expensive ones later.
No reason why you could not try Pro-fractionated resurfacing (see Sciton Joule, for example) AFTER an attempt at scar revision.
Dr. P. Aldea

Hello,
I have seen people who came after having spent thousands on laser treatments who are improved by relatively simple scar revision surgery. Be careful you look into all options and get good advice before you choose a treatment path.

 Either a nd-Yag pulsed dye laser or a fractional laser (erbium or Co2) should help hyper-pigmented scars. We have been obtaining excellent results by combining the Echo 2 co2 laser and the Spectra laser form Lutronic.