How to remove hypopigmented keloid on nose: I underwent 2 Fraxel sessions, I have 2 sessions left, should I proceed? (Photos)

Question

My scar from three years ago is partly raised and partly depressed. I already asked initally here but since photo was too light, A Dr. only gave general ideas about flatenning and addressing pigment issues. I underwent 2 fraxel sessions that I think made my raised scar even more apparent, but the depressed area became better. Still have 2 sessions left, should I proceed? Also,what are the other options I have? Is it mandatory to have them done as soon as possible?

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Monika Soni, MD · Answer

Thank you for your question. Keloid scars can be treated with cryotherapy which is used freeze keloids and stop their growth. Other options include steroid injections, laser treatment and surgery. For more information, please make sure you get a in person consultation from a board-certified dermatologist. Bet of luck!

How to remove hypopigmented keloid on nose: I underwent 2 Fraxel sessions, I have 2 sessions left, should I proceed? (Photos)

Answers (2)

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