Effective Treatments for Chickenpox Scars: Creams and Laser Options - Dermatology

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Chickenpox scars


Doctor: Is there any medication to apply for removing the "brown scars" left by chickenpox? If laser treatment is needed, how much does it typically cost?

Xiao Xiao, 10~19 year old female. Ask Date: 2004/03/13

Dr. Chen Yiying reply Dermatology


Hello: In response to your question, I would like to know when you had chickenpox and how long it has been since the wounds healed.
If the discoloration is due to post-inflammatory hyperpigmentation, simply avoiding sun exposure will allow the color to gradually return to your skin tone, and most cases do not require laser treatment.
You may also consult a physician for an assessment, who can recommend appropriate depigmenting creams or skincare products based on your condition.

Reply Date: 2004/03/13

More Info


When it comes to treating chickenpox scars, there are several effective options available, including topical creams and laser treatments. Chickenpox can leave behind hyperpigmented scars, which may be brown or darker than the surrounding skin. These scars can be a source of concern for many individuals, leading them to seek effective treatment options.

Topical Treatments:
1. Silicone Gel Sheets or Silicone Gel: These are often recommended for scar management. They work by hydrating the scar tissue and creating an optimal environment for healing. Silicone gel sheets can be applied directly to the scar and are usually worn for several hours a day.

2. Hydroquinone Cream: This is a skin-lightening agent that can help reduce hyperpigmentation. It works by inhibiting melanin production in the skin. However, it should be used with caution and under the guidance of a dermatologist, as prolonged use can lead to skin irritation or other side effects.

3. Retinoids: Topical retinoids, such as tretinoin, can promote cell turnover and help fade hyperpigmented scars over time. They can also improve skin texture and reduce the appearance of scars.

4. Vitamin C Serums: These serums can help brighten the skin and reduce the appearance of dark spots. Vitamin C is known for its antioxidant properties and can aid in skin repair.

5. Exfoliating Creams: Products containing alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs) can help exfoliate the skin and promote the shedding of dead skin cells, which may help improve the appearance of scars.

Laser Treatments:
For more significant or stubborn scars, laser treatments can be an effective option. There are different types of lasers used for scar treatment:
1. Fractional Laser Resurfacing: This technique targets only a fraction of the skin at a time, promoting healing and reducing downtime. It can improve the texture and color of scars.

2. Pulsed Dye Laser: This laser targets blood vessels in the scar tissue, helping to reduce redness and improve overall appearance.

3. CO2 Laser: This is a more aggressive treatment that can significantly improve the appearance of scars but may require more downtime for recovery.

The cost of laser treatments can vary widely based on the type of laser used, the number of sessions required, and the geographic location of the treatment center. On average, a single session can range from $200 to $1,500. It’s important to consult with a qualified dermatologist or plastic surgeon to determine the best treatment plan for your specific scars and to get an accurate estimate of the costs involved.

Consultation with a Dermatologist:
Before starting any treatment, it’s crucial to consult with a dermatologist. They can assess the severity of your scars and recommend the most appropriate treatment options based on your skin type and the extent of the scarring. Additionally, they can provide guidance on the expected outcomes and any potential side effects associated with the treatments.

In conclusion, while there are effective topical treatments available for chickenpox scars, laser treatments can offer more significant results for deeper or more persistent scars. A combination of both approaches may also be beneficial. Always seek professional advice to tailor the treatment to your individual needs and to ensure the best possible outcome.

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