How can I remove my scar? (photo)

Question

Hi, Whilst under Roaccutane treatment, I stupidly got a "Henna" tattoo (temporary tattoo) on my upper right arm, overseas on holidays. I was probably also a little sun burnt. My skin did not react well - it bubbled up and blistered leaving a terrible brown(?) scar of my ex girlfriends name. I would like this scar removed!! If possible I would like some information on the specific treatment needed and the cost involved. Also open to making a appointment. Thanks in advance. Chris

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

Vivek Bansal, MD · Answer

An evaluation will tell you if you have a scar, what kind of scar and or if you have a pigmentation issue.  Laser and or bleaching cream will likely be your options.  You will need to be off Accutane for 6 months before laser is a consideration.

Emily Altman, MD · Answer

Scarring can occur after a henna tattoo reaction, particularly with black henna, which contains paraphenylene diamine (PPD), the black component of most hair dyes.

	What happens is usually an allergic contact dermatitis, which may be severe.  From your note, it sounds like what happened to you.

	Looking at your photo, it appears that there is still some residual redness.  If that is so, I recommend a consultation with a board-certified dermatologist.  If the reaction is still ongoing, treating it now will help some with decreasing the scar.  After the reaction has settled, the treatment will depend on whether it is just hyperpigmentation or if there is skin texture change.

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