Can Laser Hair Removal Be Safe on Scarred Skin After Granuloma? - Dermatology

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Granulation tissue hyperplasia, Intense pulsed light hair removal?


Hello, a few years ago I had a skin tag under my armpit that was removed by electrosurgery, and the biopsy results were benign, but it left a scar.
Now, I would like to undergo intense pulsed light (IPL) hair removal.
Can this scar area tolerate IPL treatment? If I proceed with IPL, will it stimulate the scar to grow back?

HA, 20~29 year old female. Ask Date: 2014/07/29

Dr. Wu Yuxin reply Dermatology


In principle, it is possible.
However, please communicate and consult with the physician who performed the laser hair removal for you.

Reply Date: 2014/07/29

More Info


When considering laser hair removal on scarred skin, particularly after the removal of a granuloma, it is essential to evaluate both the safety and the potential effects on the scar tissue. Laser hair removal is generally regarded as a safe procedure for many skin types and conditions, but there are specific considerations when it comes to scarred skin.

Firstly, the type of scar plays a significant role in determining the safety of laser hair removal. Hypertrophic scars or keloids, which are raised and thickened scars, may react differently to laser treatments compared to flat scars. If your scar is flat and has healed well without signs of active inflammation or irritation, it is likely that laser hair removal can be performed safely in that area. However, if the scar is raised or has a history of keloid formation, there is a risk that the laser treatment could stimulate further growth of the scar tissue.

The concern about stimulating scar tissue is valid. Laser treatments work by delivering focused energy to the skin, which can promote healing and regeneration. In some cases, this stimulation can lead to an increase in collagen production, which may result in the thickening of existing scars or the formation of new ones. Therefore, it is crucial to have a thorough consultation with a qualified dermatologist or plastic surgeon who can assess your specific scar and skin type before proceeding with the treatment.

In your case, since the granuloma was benign and has been removed, and if the scar has stabilized, you may be a candidate for laser hair removal. However, it is advisable to discuss the following points with your healthcare provider:
1. Scar Assessment: Have the scar evaluated to determine its type and condition. A flat, well-healed scar is generally safer for laser treatments than a raised or irregular one.

2. Type of Laser: Different lasers have varying effects on the skin. Some lasers are more suitable for treating scars and may be less likely to cause irritation or stimulation of scar tissue. Your provider can recommend the most appropriate laser for your skin type and scar condition.

3. Patch Test: Consider asking for a patch test on a small area of the scar to see how your skin reacts to the laser before proceeding with full treatment.

4. Post-Treatment Care: Discuss the aftercare required following laser hair removal, especially on scarred skin. Proper care can help minimize the risk of complications and promote healing.

5. Alternative Options: If there are concerns about the safety of laser hair removal on your scar, your provider may suggest alternative hair removal methods that are less likely to irritate the scarred area.

In conclusion, while laser hair removal can be safe on scarred skin, especially if the scar is flat and well-healed, it is crucial to approach the procedure with caution. A thorough evaluation by a qualified professional will help ensure that you make an informed decision that prioritizes your skin's health and safety. Always communicate openly with your healthcare provider about your concerns and any previous skin conditions to achieve the best possible outcome.

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