What can I do to lighten and flatten my hypertrophic/keloid scar? (Photos)

Hello there Your scar is still very early .It doesn't show any signs of keloid . Only mild hypertrophy .I would recommend that you apply silicone gel sheet to it for 3 months and see how it progresses .Even with no treatment the natural history is it is likely to improve over the next 18 months .Asian skin can react to laser and light source treatments by going dark so I wouldn't risk that if I were you .Just the simple silicone gel patch should be fine .CheersTS

Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or multiple, using a combination platform that includes lasers, RF, scar modulation, Parke-Davis Scar Protocols, and injection therapy. Some keloids will require surgical intervention as an initial step for treatment.
Best,
Dr. Raffy Karamanoukian
Realself 100 Surgeon

Dear kimchijigae,Thank you for your question and sharing your photos. Your scars still look acceptable at 5 months and this is the average healing process. This is not a keloid scar and there is only slightly hypertrophy of the scar and erythema which is still very acceptable, especially in Asian patients. You have up to 12 months to modulate the scar. Please continue to use the Dermatix Ultra until the scar completely flattens (until 12 months). On top of that you should apply sunblock SPF 35 and above to the scar. This should be done every 3-4 hours (8am, 12pm and 4pm) and more if you are swimming or sweating profusely. The sunblock will help to prevent the scar from being pigmented. Pulse dye laser can also be done to reduce the redness of the scar and injections of steroids may be helpful if the scar continues to thicken. See your plastic surgeon early if you are concerned.I hope this answers your question. Have a great week ahead and all the best!Dr. Terence Goh
Plastic Surgeon, SingaporeMBBS (S'pore), MRCS (Edinburgh), MMed (S’pore)Fellow, Academy of Medicine, Singapore (Plastic Surgery)President, Singapore Association of Plastic Surgeons (SAPS)International Member, American Society of Plastic Surgeons (ASPS)