How to Treat Dark Scars on Skin After Peeling? - Dermatology

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Hyperpigmentation


About three weeks ago, I noticed dead skin near the nasolabial folds on my face that looked like dried white glue on my skin.
After I peeled it off, a dark scar appeared that hasn't healed.
What can I do to improve this?

Ahei, 20~29 year old female. Ask Date: 2005/03/14

Dr. Huang Ruiyun reply Dermatology


Avoid picking or scratching, pay attention to sun protection.
If there is no further inflammation or peeling, it will naturally resolve within three months at the fastest, or up to a year at the slowest.

Reply Date: 2005/03/14

More Info


To treat dark scars on the skin, particularly after peeling or removing dead skin, it is essential to understand the underlying mechanisms of skin healing and pigmentation. When you peel or pick at the skin, it can lead to inflammation, which may trigger an increase in melanin production, resulting in post-inflammatory hyperpigmentation (PIH). This is a common response of the skin to injury, and while it can be frustrating, there are effective strategies to manage and improve the appearance of these dark scars.

1. Avoid Picking or Scratching: The first and foremost advice is to avoid further trauma to the affected area. Picking at scabs or peeling skin can exacerbate the problem and lead to more pronounced scarring. Allow your skin to heal naturally without interference.

2. Sun Protection: One of the most critical steps in managing dark scars is to protect the area from sun exposure. UV rays can darken existing pigmentation and hinder the healing process. Use a broad-spectrum sunscreen with an SPF of 30 or higher, and reapply it every two hours when outdoors. Wearing protective clothing and seeking shade can also help.

3. Topical Treatments: There are several topical agents that can help lighten dark scars over time. Ingredients such as hydroquinone, kojic acid, azelaic acid, and vitamin C are known for their skin-lightening properties. Additionally, retinoids can promote cell turnover and improve skin texture, which may help fade scars. However, these treatments should be used under the guidance of a dermatologist, especially if you have sensitive skin.

4. Moisturization: Keeping the skin well-hydrated is crucial for healing. Use a gentle, non-comedogenic moisturizer to maintain skin barrier function. Ingredients like hyaluronic acid and glycerin can help retain moisture and support the healing process.

5. Chemical Peels and Exfoliation: Once the skin has healed sufficiently, you may consider professional treatments such as chemical peels or microdermabrasion. These procedures can help remove the outer layer of dead skin and promote the growth of new, healthier skin. However, it is essential to consult with a dermatologist to determine the appropriate timing and type of treatment based on your specific skin condition.

6. Laser Treatments: For more persistent dark scars, laser treatments may be an option. Lasers can target pigmentation and stimulate collagen production, leading to improved skin texture and tone. Again, this should be discussed with a qualified dermatologist who can assess your skin and recommend the best course of action.

7. Patience and Consistency: It is important to remember that treating dark scars takes time. Depending on the severity of the pigmentation, it may take several weeks to months to see significant improvement. Consistency in your skincare routine and adherence to sun protection are key factors in achieving the best results.

8. Consult a Dermatologist: If the dark scars do not improve with over-the-counter treatments or if you have concerns about your skin, it is advisable to consult a dermatologist. They can provide a tailored treatment plan based on your skin type and the specific characteristics of your scars.

In summary, treating dark scars after peeling involves a combination of protective measures, topical treatments, and possibly professional interventions. By being patient and consistent with your skincare routine, you can effectively manage and improve the appearance of dark scars over time.

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