Scar removal hypopigmentation pubic area (Photo)

Question

I have 10-14 year old hypopigmentation scars on my pubic area, mostly from tweezing and plucking after shaving.I haven’t shaved in over 10 years, so no new scars for that entire time. I’m hoping to remove the scars, but unclear what path to take. Note that the scars were from ingrown hairs. I hope to get laser hair removal in the future, but only if the scars are able to fade. Thank you

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

Jeff Rapaport, MD · Answer

Your pubic scars are hypopigmented and  combined with localized hair loss. Laser hair removal will diminish the contrast between the scarred area and normal pubic skin. Try that first. If the hypopignentation that remains is still prominent, brimatoprost Topical should help with repigmentation.
Find a scar expert.
Jeff Rapaport MD FAAD 
Realself Hall of Fame

Scar removal hypopigmentation pubic area (Photo)

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