Excoriation Scars That Change Colour. How can I treat them? (Photo)

Question

During lockdown I started to pick my skin (I no longer pick since lockdown ended). It's left me with a few flat hypo-pigmented scars. The scars (which are 2-3 years old) turn red when exposed to heat, whether it be from the sun, the blowdryer or after a run. I'm mindful that I can never completely eliminate the scar, but is there a way to reduce it. In particular stop it from turning red? I've haven't found anything on google. Attached are two pics of the same scar, one red after heat exposure.

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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