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