How do I get rid of a hypopigmented scar after surgery? (photo)Plastic Surgery Aesthetic Medicine Skin, Hair & Nails
I am a 21 year old female. I had an open surgery to remove a pilonidal cyst. Now I am left with a hypopigmented scar and it is slightly hypertrophic. What are the options to revise it?
From your picture, it appears that there are 3 components to your scar - it is hypopigmented, widened and hyperthrophic, as well as being depressed in some parts.
Treatment would depend on your requirements and how long ago the pilonidal excision surgery was performed. The definitive treatment of this is a scar revision with a Z-plasty and possibly a small Lindberg flap to correct the depressed components. This would be partially covered by Medisave.
Dr Samuel Ho
Hello 21 year old female 👋
I would suggest a scar revision - cut out the scar and stitch it again as meticulously as possible to reduce the risk of it widening again.
To address the depression, various techniques can be used either during the scar revision or after as a second stage procedure. Sorry that this sounds a little vague but this is the beauty of plastic surgery - we like to use a wide repertoire of skills coupled with some imagination and creativity to solve your problems
Best to consult your plastic surgeon and discuss the pros and cons of each option
For problems like these, after consulting the patient, I usually write to the patient's insurance company to explain the treatment plan. Often, these surgeries are insurance and Medisave claimable.