Excessively wrinkly when flaccid, and hyper pigmented around a scar - what will improve penile shaft skin appearance? (Photos)

1. Wrinkling (when flaccid):

It’s normal for penile skin to appear wrinkled in the flaccid state because of its elasticity.

However, factors like scarring, past trauma, chronic inflammation, or skin laxity can exaggerate this.

2. Hyperpigmentation Around a Scar:

Post-inflammatory hyperpigmentation (PIH) is common after injuries or scratches.

This discoloration may fade slowly with time, but some men retain darker pigmentation in the affected area.

3. Potential Options to Improve Appearance:

Topical Treatments: Prescription-strength lightening creams (such as hydroquinone, azelaic acid, tretinoin, or corticosteroid combinations) may help reduce pigmentation, though results vary.

Laser Therapy: Fractional lasers, pigment-specific lasers (like Q-switched or pico lasers), or resurfacing lasers can reduce hyperpigmentation and smooth skin texture.

Microneedling / PRP (Platelet-Rich Plasma): Can sometimes improve scar quality and skin appearance.

Surgical Revision: In select cases, a plastic surgeon or urologist experienced in genital reconstruction may excise or revise scar tissue.

4. Finding the Right Specialist:

Look for a board-certified dermatologist, preferably one with experience in genital dermatology or laser treatments.

A urologist (especially those specializing in reconstructive urology) may also be appropriate if there is functional or structural concern.

If searching, include keywords like “cosmetic dermatologist,” “laser dermatology,” “reconstructive urologist” in your area.