The surgical and non-surgical treatments that make up scar revision differ by method and intended results, but they all intend to make scars less visible on the skin. If you have dark skin, you may be concerned about the effect the treatment will have on your skin, considering dark skin's tendency for hyper- and hypopigmentation.
When to Be Concerned
Some scar revision treatments, such as blue light therapy and other laser therapies, have not always proven successful for patients with dark skin tones. This is because dark skin has more melanin than light skin and can be harder to penetrate. The scar may not wind up close in tone to surrounding skin and instead could be lighter or darker than surrounding skin if the right application of laser light is not applied. Nevertheless, you may still be eligible for some laser therapies with dark skin.
Scar revision encompasses far more than light and laser treatments. You may have your scar reduced via surgical means, which should pose no additional risks for hyper- or hypopigmentation. There are also injectable fillers and dermabrasion to even out skin texture, as well as chemical peels in order to even out skin tone. However, do not be tempted to perform a chemical peel on yourself, as you may find some home kits for sale. It's better to have peels performed by a licensed professional, especially if you have delicate dark skin.
Your cosmetic specialist can evaluate your scar and determine which kind of scar revision treatment can both treat the scar and decrease the risk of discoloration. With so many different revision options available, there are many methods that don't pose a great risk to people with dark skin tones.