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Dark and pigmented scars are usually caused by skin trauma and post-inflammatory hyperpigmentation. Common causes include insect bites, burns, chemical peels, lasers, and surgery. Hyperpigmentation of the skin can be treated with our Hidef scar pigmentation protocols that include laser therapy, topical Melarase creams, and skin exfoliation using chemical peels and Melapads. Melarase AM and Melarase PM is ideal for skin pigmentation on the face. Luminase and Exfolase creams are ideal for the body to correct pigmentation. In our office, we would begin our Rapid Exfoliation treatments to lighten the discoloration quickly. In some cases, Q switch laser can be used to further drive out discoloration. Clear and Brilliant laser can also be used to drive out pigmentation and add texture to a scar. Redness from PIE (post inflammatory erythema) is treated with Vbeam laser and IPL. In some cases, RF coagulation is ideal. I would advise Plato’s Scar Serum twice daily on red scars. Textural scars respond well to nanofractional RF and fractional laser to help improve surface texture. When combined with scar modulation, the results can improve dramatically. The most important variable is for you to choose a plastic surgeon with expertise in laser therapy using Hidef protocols. Best, Dr. Karamanoukian Realself100 Surgeon
Hi Naomi. It's difficult to tell if there are any textural changes in the scar but if it's redness you are concerned about, then pulsed dye laser treatments would help. If texture is the concern, then a fractional laser resurfacing may be an option as well.
I recommend getting a formal evaluation with a cosmetic dermatologist. This scar can be improved with lasers (ProYellow, Excel V, VBeam) and microneedling/prp. See an expert. Best, Dr. Emer
Dear naomipe279,If you are considering a treatment, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
