Techniques for Optimizing Surgical Scars, Part 3: Erythema, Hyperpigmentation, and Hypopigmentation.

Kathryn Potter, Sailesh Konda, Vicky Zhen Ren, Apphia Lihan Wang, Aditya Srinivasan, Suneel Chilukuri

Journal: Skinmed 2019;16(2):113-117

PMID: 29911529

Abstract

["Surgical management of benign or malignant cutaneous tumors may result in noticeable scars that are of great concern to patients, regardless of sex, age, or ethnicity. Techniques to optimize surgical scars are discussed in this three-part review. Part 3 focuses on scar revision for erythema, hyperpigmentation, and hypopigmentation. Scar revision options for erythematous scars include moist exposed burn ointment (MEBO), onion extract, silicone, methyl aminolevulinate-photodynamic therapy (MAL-PDT), pulsed dye laser, intense pulsed light (IPL), and nonablative fractional lasers. Hyperpigmented scars may be treated with tyrosinase inhibitors, IPL, and nonablative fractional lasers. Hypopigmented scars may be treated with needle dermabrasion, medical tattoos, autologous cell transplantation, prostaglandin analogues, retinoids, calcineurin inhibitors, excimer laser, and nonablative fractional lasers."]

Address: Department of Dermatology, University of Florida College of Medicine, Gainesville, FL.; Department of Dermatology, Loma Linda University Medical Center, Loma Linda, CA.; Department of Dermatology, Baylor College of Medicine, Houston, TX.; Department of Dermatology, University of Alabama at Birmingham School of Medicine, Birmingham, AL.; McGovern Medical School, Houston, TX.; Refresh Dermatology, Houston, TX; [email protected].

Link outs

Free resources

Medical:

https://medlineplus.gov/scars.html

Research Materials:

https://antibodies.cancer.gov/detail/CPTC-CD8A-1

MeSH Terms: Cicatrix, Dermabrasion, Dermatologic Agents, Dermatologic Surgical Procedures, Erythema, Esthetics, Female, Humans, Hyperpigmentation, Hypopigmentation, Low-Level Light Therapy, Male, Retinoids, Skin Neoplasms, Treatment Outcome