Lipo scars not fading with Resurfx on ethnic skin. Other options? (photo)

Question

I have purple/brown scars on my ethnic skintone that are very minimally fading despite mutiple treatments of Resurfx, hydroquinone, and silicone cream. What else should I be doing?? I need to fade the scars as quickly as possible.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Dealing with scars, especially on ethnic skin, can be challenging due to the increased risk of hyperpigmentation. Since your current regimen with Resurfx, hydroquinone, and silicone cream has shown minimal improvement, here are some other options you might consider:

Consult a Dermatologist: It's crucial to consult with a dermatologist who specializes in ethnic skin. They can provide a tailored treatment plan and ensure that treatments are safe for your skin type.

Topical Treatments: Consider other topical treatments such as retinoids, which can promote skin cell turnover and help fade scars. Azelaic acid is another option that might be beneficial for hyperpigmentation.

Chemical Peels: Superficial chemical peels using glycolic acid or salicylic acid can help improve skin texture and pigmentation. These should be performed by a professional with experience in treating ethnic skin to minimize the risk of adverse effects.

Microneedling: This procedure can improve the appearance of scars by stimulating collagen production. It can be effective for all skin types when performed by a skilled practitioner.

Laser Treatments: While you've tried Resurfx, other laser treatments might be more effective. Fractional lasers or Nd:YAG lasers are often used for darker skin tones with caution to minimize the risk of further pigmentation.

Sun Protection: Ensure you are using a high SPF sunscreen daily. Sun exposure can worsen pigmentation and slow the fading of scars.

Patience and Consistency: Scarring and pigmentation can take time to improve. Consistent treatment and protection from further damage are essential.

Discuss these options with your dermatologist to determine the best course of action for your specific skin type and concerns.

Lipo scars not fading with Resurfx on ethnic skin. Other options? (photo)

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Lipo scars not fading with Resurfx on ethnic skin. Other options? (photo)

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.