What can be done to minimize the appearance of scarring on the Penis? (photo)

Question

Hi im having a scar on my penis its been 2 years so far. I was fidgeting and masterbating with my nails and it started to bleed with scar. It healed but every time i do a full shave, its very unsightly. Is there anything can be done?

Anna Chacon, MD, FAAD · Answer

Thank you for sharing this—it’s understandably distressing, especially given the location. Based on your description and the photo, what you’re seeing appears consistent with post-traumatic scarring and chronic skin thickening from repeated irritation. The penile skin is very delicate, and even minor trauma (such as friction or nail injury) can heal with visible texture or color changes, particularly once the area has fully scarred over—which typically happens by about 12–18 months. At two years out, this scar is considered mature.

A few important points to keep in mind:

Why it looks more noticeable after shaving
Shaving removes hair and increases contrast, which makes differences in texture, thickness, and pigmentation much more obvious. It can also mildly irritate scar tissue, causing temporary darkening or swelling.

What can realistically help
While scars in this area can’t be completely erased, their appearance can often be softened:

Topical silicone gel or sheets may help smooth texture over time.

Prescription topical steroids (used cautiously and short-term) can reduce thickened or raised scar tissue if present.

Topical retinoids or pigment-modulating creams may help even out color, though changes are gradual.

Gentle moisturizers and barrier creams help keep the skin supple and reduce further irritation.

Procedures (used very selectively)

Laser treatments (such as fractional or pigment-targeting lasers) may improve texture or discoloration, but this area requires extreme care and conservative settings.

Steroid injections are sometimes used for raised scars, but only if there is true hypertrophic scarring.

What to avoid

Continued friction, picking, or nail trauma

Aggressive shaving (consider trimming instead)

Over-the-counter bleaching agents or harsh exfoliants—these can worsen discoloration and sensitivity

Most importantly, this type of scarring is benign and common after repeated trauma, even though it can look alarming. Many patients are far more aware of it than anyone else would be. With the right approach, improvement is usually possible, but expectations should stay realistic—this is about softening and blending, not complete removal.

You’re not alone in dealing with this, and there are thoughtful, measured ways to manage it safely.

Jeff Rapaport, MD · Answer

Treating a hypopigmented depressed scar on the scrotum ( not penis in photo) can be challenging due to the sensitive and delicate nature of the area. Here are some potential treatment options, which should be discussed with a dermatologist scar expert. 
   - **Silicone Gel or Sheets**: These can help flatten and soften the scar tissue, although they might not address hypopigmentation.
   **Microneedling**:-This involves using fine needles to create tiny punctures in the skin, promoting collagen production and potentially improving the texture and appearance of the scar. Microneedling may also help with pigmentation issues when combined with topical treatments.
**Fractional Laser Resurfacing**: This can help improve the texture and appearance of the scar by promoting collagen production. However, it should be used cautiously on the scrotum due to the sensitivity of the skin in that area.
 **Excimer Laser**: Specifically targets hypopigmented areas and can help restore pigment to the scarred skin.
**Platelet-Rich Plasma (PRP) Therapy**:- PRP involves injecting concentrated platelets from your own blood into the scar. This can promote healing and improve skin texture and pigmentation.
It’s essential to consult with a dermatologist who has experience with scarring in sensitive areas to determine the best approach for your specific situation. 
Jeff Rapaport MD FAAD 
Realself Hall of Fame 
Castle Connolly Top Doctor

What can be done to minimize the appearance of scarring on the Penis? (photo)

Answers (2)

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