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Q: I'm looking to purchase Scarguard. Are there any competitors to this product? I can't seem to compare this product to anything else. Thanks.

Dr. Berger: Dear Lee Ann,
There’s a product, MediScar, with which I’ve had good results. It’s available on the web. Also, see my comments on Laser Genesis for real scar reduction.

Q: Hello Dr Berger,
I was born and raised in the Caribbean island of Dominica. I grew up with a lot of scars on my feet from sports, recreation and country living. I have been hearing about Scarguard on the radio and I am thinking of trying it to get rid of the scars. Do you recommend it? If not what do you recommend? Thanks, BJ.

Dr. Berger: Dear BJ,
old scars are very difficult to treat. Don’t expect too much. ScarGuard is as good as any other scar treatment, but it’s intended for recent, soft skin scars… not scars on tougher areas like the feet.
There is unfortunately no specific solution I can think of.

Q: Is there anyway to treat hypertrophic scaring? I have some hypertrophic acne scars and haven’t seen much information about treatment.

Dr. Berger: CUTERA Laser Genesis. See info at my website at BergerMedical.com
With a series of 10-20 treatments over the scarred area with 45 miunutes of pre-treatment topical anesthetic scars frequently flatten and fade.

Q: Dear Dr. Berger,
First of all, I must say you are very handsome, and a man of experience, wisdom, and education, is impressive. Enough flirting, now for my serious question. I have a scar where my cleavage begins.
I had a small mole removed from there that appeared suddenly. I had it redone because it became a keloid. After the second time, it still had keloid. I went to a plastic surgeon who injected it several times til it finally flattened. And now it is soft and flat, however the redness will not disappear. It has been about 2 years. I've used Mederma, Vitamin E, aloe vera, and scar bandages, but to no avail. So finally I see that I will have to accept the redness, however, I would like to disguise it. Will Dermablend help this scar hide?
Thank you for your quick response,
Helene (Simi Valley, CA.)

Dr. Berger: I LIKE flirting! It’s refreshing... and especially when I can actually answer your question. LOL There are several options... one is to have a series of CUTERA Laser Genesis treatments to decrease the redness. Make certain the operator is a physician, and experienced in this problem (too bad you’re all the way in Simi!). There is a good company called Prescriptives™. They can match your skin tone and allow you to cover up.
Again, thanks for the kind words.

Q: Hi there, I have a small hyperpigmented scar just underneath my right eye caused by an injury. The scar is now 18 months old and is still slightly discolored. What can I do about this now?

Dr. Berger: There are several viable approaches here, John. Laser genesis can effectively fade scars, but you might want to try a cream containing Hydroquinone as a first line. A 4% preparation is a good place to start. Good luck.


Q: G.M COLLIN Stretch Mark and Keloid Smoother could  possibly help for removal of keloid. I have a keloid in between my breast itchy and become bigger. I would like to remove. Advise please.
Thanks!

Dr. Berger: Dear Gilda,
Keloids are an excess of collagen growth at a scar site. The collagen forms lumps and clumps instead of smooth layers and a flat matrix.
Injection of steroidal compounds like Kenalog can decrease the formation and Laser Genesis, at high levels with topical anesthetic can help smooth the appearance. Usually about 10+ treatments are necessary 3-4 weeks apart.


Q: I have had a hypertrophic keloid scar on my middle chest just above my breasts; cleavage for 17 years I have had it excised eight times and about two gallons of kenalog steroid injected.
I have also had laser light beams (gentle yag) zapped into it. It is really flattening and smoothing out lately but the redness is still a major factor for my confidence.
The light pulses have helped tremendously, but seem to activate the keloid cells. Could you suggest a make-up. I am very fair complected, a red-headed. Thanx in advance.

Dr. Berger: Dear Gretchen,
It's rare enough that light skinned red heads develop keloids at all. I would go to someone with a Cutera Xeo, use topical anesthetic cream and get about 10 treatments at relatively high settings. That might blanch out the small blood vessels which are actually causing the redness. Make certain the physician is no stranger to this problem. The last thing you need in that sensitive area is a burn!

 
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