Scar Removal or Fading After Mole Removal on Chest?

Red hypertrophic and keloid scars on the chest do not respond well to surgery. I would begin with nonsurgical management:


Cryotherapy

Pressure treatment

Selective IIT

Pulsed Dye Scar Laser

Tincture of time and over the counter silicone gel preparations are the best options for treating your scar. I would avoid the use of lasers in this area.

The scar is permanent and cannot be completely erased. There are, however several options that can improve its appearance:
1. Time - the scar will continue to mature and fade over the next year
2. Silicone sheeting or gel - no one knows why this works, but it can help fade the appearance
3. Steroid injections - can help if the scar is firm or raised. It will help soften and flatten it, but not make it smaller
4. Scar excision (revision) - the scar can be made smaller with excision and purse string suturing or serial excision. It won't completely disappear though, and may spread again with time
5. Pulsed Dye Laser - will help get the redness out
6. Fractional non ablative or ablative laser - will help fade the apperance.
In short, no one thing will help it disappear, but many things can improve certain aspects of your scar.