How can I get rid of old raised hypertrophic scars on pubic area?

Question

Hi. I'm a African american and have plenty of raised hypertrophic scars over a decade old from shaving when I was under 10 & shaved carelessly, where I cut myself from the blade. I have never shown a doctor or dermatologist the area out of embarrassment and haven't been in relationships cause of it. I've tried Mederma and Bio oil with no luck & don't know what to do. I'm aware scars cannot completely go away but I would at least like them to be flattened. Added pics, would appreciate advice. TY

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

William Andrade, MD · Answer

Options to remove hypertrophic scars include ointments (which you have already tried), silicone sheets, laser treatments, steroid or 5FU injections, or surgical revision.  A plastic surgeon will be able to go over these options in detail.

How can I get rid of old raised hypertrophic scars on pubic area?

Answers (2)