Best Treatment For Hyperpigmented Scars in Dark Patients


Photograph is of our patient, before after TWO Micropen treatments of the Hyperpigmented Scar ONLY, individual results vary

One of the questions I get asked a lot by many of my patients is :”Have you treated dark pigmented scars in black American individuals and other individuals with very dark skin”?

I can confidently say that YES we have several Black American patients, African patients and several South Indian patients with very dark skin (Fitzpatrick V and VI) who have shown significant improvement in hyperpigmented scars with different types of treatment protocols.

Hyperpigmented scars or scars with dark brown spots can occur due to various reasons; acne, eczema, mechanical trauma, laser burn, chemical burn are some of the common causes for hyperpigmented scars. Hyperpigmented scars can occur in all skin types but are much more common in darker skin types. Hyperppigmented scars in dark skin present a challenge to the treatment provider because of the nature of these scars.

Hyperpigmentation in scars results from excessive pigment production following inflammation of skin from acne, mechanical trauma, chemical burn, laser burn etc. and is called Post Inflammatory Pigmentation or PIP. The biggest  issue with treating PIP is that the very treatments used to reduce pigmentation cause skin irritation or inflammation and can actually worsen the pigmented scars by inducing more Post Inflammatory Pigmentation PIP in the skin.

I have treated a vast number of patients of darker skin type, Fitzpatrick skin type IV through VI  for PIP over the years and I can assure you that there is no ONE treatment that works for every person. Skin color and the extent of pigmentation are not the predicting factors of how any individual will respond to any particular treatment for the hyperpigmented scars. What I know for a fact is that the most commonly practiced cosmetic skin treatments for treatment of pigmented scars or hyperpigmentation disorders in Caucasian skin (Fitzpatrick skin type I-III) do not work well in darker skin (Fitzpatrick skin type IV-VI) and more likely than not can make the hyperpigmentation worse than baseline.

Over the last 15 years of practicing cosmetic skincare, I have tried various skin treatments protocols for hyperpigmentation with moderate  success. The success rate of our hyperpigmented scar treatments in Dallas and Southlake has gone up tremendously in the last 18-24 months with addition of  a couple of new treatment modalities which seem to have true “pigment neutral” effect even with increasing intensity of the treatment and use of PRP (Platelet Rich Plasma) in some cases with the mechanical skin resurfacing for effective removal of deep pigmentation truly resistant to other types of treatment.

Hyperpigmented scars do not get better overnight. It takes time and more than one treatment to see results. I like to combine more than one type of treatment modality whenever possible and practical to get the optimum results with least side effects and to be most cost effective.

To schedule a consultation for hyperpigmented scar treatment in Dallas and Southlake, please call 888-210-9693 for an appointment.