Which procedure would help minimize the appearance of white discoloration and scarring from hematoma 2 years post op? (photos)

I am sorry that you have this issue. I have had gratifying results treating hypopigmented scars following surgery, trauma, acne, etc. using a combination of manual microneedling (no need for the added expense and risks of RF microneedling) accompanied by the topical application of Rx topical pigment promoters, such as topical tyrosine and lanatoprost. You would be wise to consult with an experienced, board certified cosmetic dermatologist scar treatment specialist. Hope this helps and best of luck.

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi, I'm sorry to hear about the issue you're experiencing post-surgery. Based on the information you've provided, there are several treatment options that could help minimize the appearance of white discoloration and scarring. It's important to remember that the effectiveness of each option can vary depending on the individual's specific case.
1. Steroid Injections: These are often suggested for raised or hypertrophic scars. They can help to flatten the scar and reduce redness, itching, and burning. However, they might not be as effective in addressing discoloration.
2. Laser Therapy: Lasers can be a beneficial option for treating discoloration and improving the texture of the skin. Pulsed dye lasers (PDL) or intense pulsed light (IPL) are commonly used for redness and discoloration, while fractional lasers can help with texture changes.
3. Microdermabrasion: This is a minimally invasive procedure used to renew overall skin tone and texture. It can improve the appearance of scars.
4. Microneedling: This is a dermaroller procedure that uses small needles to prick the skin. The purpose of the treatment is to generate new collagen and skin tissue for smoother, firmer, more toned skin. It is mostly used on the face and may treat various scars, wrinkles, and large pores.
5. Topical Treatments: Certain prescription creams, gels, or ointments can help to reduce scarring. These might include retinoids or vitamin C serums, which can help to stimulate collagen production and improve the appearance of scars.
6. Surgical Revision: In some cases, surgical treatment might be the best option. This could involve excising the scar and re-suturing the area, potentially using techniques to minimize the risk of further scarring.
Remember, it's crucial to discuss these options with a professional healthcare provider or dermatologist. They can provide you with the most accurate advice based on your specific situation and health history.

Steroid injections are often recommended to minimize the appearance of scars and discoloration. However, it’s crucial to consult with a dermatologist or plastic surgeon for an in-depth evaluation of your specific case.