What are my options to treat a hypopigmented and mildly hypertrophic scar on my upper medial vermillon lip? (Photo)

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

Youl raised scar has two issues. The elevation can be treated with intralesional 5 Fluorouracil shots. I would avoid steroids as this can precipitate hypopigmentation. The color would respond to an eximer laser or light Fraxel. Find a scar expert.
Jeff Rapaport MD FAAD
Realself Hall of Fame