How to get rid of flat discolored scars that have shiny texture?

I have a two scars on my ankle from an injury they appear to like bruises but they have a shiny texture. Any treatment that can minimize the effect? They are almost three years old

Doctor Answers 4

Discolored scars

It sounds like scar hypertrophy.  You can never get rid of a scar from a full thickness injury.  There are methods which may help.  Have you tried silicone gel or sheeting?  Next step would be steroid injections into the scar.  After that, the discussion comes down to the laser v. excision and reclosure. Photographs would be beneficial.

Fractional Microneedle Therapy Works Well For Improving Surface Texture And Coloration Of Many Types of Scars

Medical microneedling, also called fractional microneedle therapy and sometimes Dermarolling can be quite helpful for improving the color and surface texture of a whole variety of scars, regardless of the underlying cause. These include traumatic scars, surgical scars, and those of infectious origins.

The procedure, performed under local anesthesia involves the use of a device that contains multiple sterile stainless steel surgical needles that penetrate to scar to form microscopic wounds. The newly created wounds set up a cascade of healing that results in new, fresh collagen formation with resultant improvement in both scar texture and surface color. Best improvement is generally achieved after a series of two to four treatment sessions spaced at six week intervals. 

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.8 out of 5 stars 23 reviews

Improving Scar Appearance

When assessing a scar there are a variety of features your doctor will assess in order to come up with the best plan for your scar. For example, I first start by examining the scar, noting the area of the body it involves, and determining the patient's skin type. Next, I see if the scar has any increased thickness (hypertrophy), thinness (atrophy), is flat, or a has a combination of these features. I then look at the texture of the scar, it can be smooth, finely wrinkled, coarse, or a combination of these features.  Finally, I look at the color of the scar. Is it skin colored, white, brown, red, pink, tan, purple, or a combination of these colors.

There are a variety of treatment options available to improve the appearance of a scar; however, it is not possible to completely remove a scar. To help improve the appearance of a red or purple colored scar, a vascular laser such as a Pulsed Dye Laser (PDL) or Intense Pulsed Light (IPL) may be used to decrease the red to purple hue. If there are prominent textural changes, a fractionated resurfacing laser may be used. For excessive thickness (hypertrophy) of a scar your doctor may add injections such as steroids, recommend silicone sheeting, pulsed dye laser, and/or a fractionated resurfacing laser. For scars which are thin and atrophic options include: fractionated lasers to stimulate collagen production or injectable fillers. Finally scars which have increased pigment can be improved with a skin brightening skin care regimen, a series of chemical peels, fractionated resurfacing laser, and/or IPL treatments. As many patients often have multiple features to their scars, I often develop a treatment plan using a combination of the above therapies for optimal improvement of my patient's scar.  
Warm regards,
Dr. Peterson

Jennifer Peterson, MD
Houston Dermatologist
4.5 out of 5 stars 15 reviews

Treatment of scars with Melarase and Pulsed dye laser

A combination of pulsed dye laser + Melarase creams can help soothe out the color differential. Our office specializes in scar treatment in Los Angeles.

Raffy Karamanoukian MD FACS

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.