I have a dark brown and completely flat birthmark on my right butt cheek. Can it be removed? (Photo)

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Pigmented congenital nevi (birthmarks)  have a very slight risk of becoming melanoma. The risk increases with size. Your nevus appears to be a “ medium” size nevus and has less than 1% chance of developing melanoma. Excision can be performed but there will be a permanent scar as a result. Please discuss risks and alternative treatments carefully with your surgeon.

Thanks for your question!  I think a birthmark like this would probably best treated with laser which will lighten it and make it less visible.  I would recommend consulting a plastic surgeon or dermatologist to discuss this further.Take care and good luck,Dr. Lisa