Laser Treatment for Hypopigmented Scar? (photos)

Question

What precise laser is used to treat hypopigmented scars? A 308-nm excimer laser (if so, is there a specific type) or a CO2 fractional laser with 10600-nm wavelength or a fractional non-ablative laser?

Nelson Lee Novick, MD · Answer

The very fact that the question is phrased, "Which precise laser..." is proof enough of the power of social media and marketing hype to sway public perceptions. The fact is that the hard science support these expensive supposedly ":next big thing" lasers (and other so-called energy-based devices) lags woefully behind the hype. So, a heavy dose of "buyer beware" is in order when evaluating these "bells and whistles" gizmos that are being so heavily hawked out there. What's more, phrasing the question as "Which precise laser...." is a set up, regrettably, for getting what you ask for I have had gratifying results in dealing with all kinds of hypopigmented scars employing manual microneedling (no need for the added expense and risks of RF microneedling) accompanied by the topical application of pigment enhancing medications, such as topical tyrosine and lanatoprost. You would be wise to consult with an experienced board certified cosmetic dermatologist. Best of luck.

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Nadir Qazi, DO · Answer

Treating hypopigmented scars with lasers can help stimulate pigment-producing cells (melanocytes) and promote more even skin tone. The choice of laser depends on the scar's characteristics, your skin type, and the desired results.

The best approach to treating hypopigmented scars with lasers is to consult with a qualified dermatologist or laser specialist. They can assess your specific scar type, your skin's response, and your overall skin health to recommend the most suitable laser treatment.

During a consultation, your provider will consider factors such as scar depth, your skin type, any underlying skin conditions, and your treatment goals. They can then determine the optimal laser type, settings, and treatment plan for achieving the best possible results.

It's important to approach laser treatments for any skin concern under the guidance of a medical professional. They can ensure that you receive a safe and effective treatment plan tailored to your unique needs.

Jason Emer, MD · Answer

A combination approach will give the most improvement. These types of scars need a combination of Cosmelan, lasers, microneedling/prp, subcision, salt facials and fillers. It may take a series of treatments and may need some treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer

Laser Treatment for Hypopigmented Scar? (photos)

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