I have hidradenitis scars on my buttocks. What can I do to get them removed? They are dark and the skin is raised up.

Question

What are my options ? It's painful and embarrassing

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Harold J. Kaplan, MD · Answer

Hi Mychelita.  If the scars are hard and raised, we would likely start with kenalog injections.  After the scars have been flattened and softened, we can proceed with treatments to remove the color (q-switched Nd:Yg).To see examples of before and after photos for scar treatments in our Los Angeles office click on the link below.

I have hidradenitis scars on my buttocks. What can I do to get them removed? They are dark and the skin is raised up.

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Everything you need to know about Scar Removal

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I have hidradenitis scars on my buttocks. What can I do to get them removed? They are dark and the skin is raised up.

Answers (2)

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Recommended reading

Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.