Hyperpigmented navel. Any thoughts on how to treat this? (Photo)

Question

Hi. I had a tummy tuck 5/2021. Initially my scars looked red/purplish however have darkened over time. I’m having a revision to my abdomen scar but it’s my navel I’m having the most issue with. It did keloid which after 3 roundso of Kenalog steroid injections flattened. Now it’s hyperpigmented. I’ve had 2 sessions of pixel8 with minimal improvement. I like the shape of my belly button but I can’t deal with how dark it’s become. Any thoughts?

Gary M. Horndeski, MD · Answer

I would make an elliptical incision around your old scar and then tack the new scar deeper into the umbilicus so it is less visible.

Best Wishes,

Gary Horndeski, M.D.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Hyperpigmented navel. Any thoughts on how to treat this? (Photo)

Answers (2)