What is a good options for hypopigmented scars on my forehead? (Photos)

Question

I have two hypopigmented scars on my forehead. One was from stitches about 30 years ago (the horizontal one which is more lateral). The scar is flat appearing. I have tried microneedling through a professional which created an inflammatory response but didn't add any pigment. The other one is vertical, flat and midline. I actually have no idea how I got this one. I have also tried microneedling with no improvement. What is a good option?

Raffy Karamanoukian, MD, FACS · Answer

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.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. 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

Jason Emer, MD · Answer

I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Hypopigmentation can typically be improved with a combination of lasers and microneedling with platelet-rich plasma (PRP). See an expert. Best, Dr. Emer

What is a good options for hypopigmented scars on my forehead? (Photos)

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What is a good options for hypopigmented scars on my forehead? (Photos)

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