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Herpes Scar Removal

I had a primary outbreak of genital hsv1 about 4.5 months ago and it left me with small atrophic scars on the left glans, or head of the penis.  Beyond the psyhcological depression of having the virus, and what it means for a future love life, I have been heavily depressed about this. I know there are laser resurfacing for pearly penile papules, and I was wondering if laser resurfacing was an option for this.  If not is there anything I can do? Microdermabrasion? excsion? anything?! Can I find treatment? Has anyone dealt with this before? Please, help me, I want to feel like me again.
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Avatar universal
I understand your concern. I commented on one of the others response to your issue, where he was saying that the breakouts don't leave scars. They certainly do leave scars. I've had herpes since 2012 and as you stated it is very depressing to live with. I came in here to find out what remedies I can take and/or mainly to find out if laser removal would work to remove the scars. From reviewing a couple of responses it appears that the laser removal treatment would be the best option..I wanted to know if it can be performed on the penis..I guess it can be performed anywhere on skin. Nevertheless, just want to say your posting this was very helpful and the responses as well as to how I can get rid of these scars that have remained after the bumps have went away and now skin have grown over them, so the scars are clearly visible under my skin. It has kept me away from sex for 6 years (completely depressing, embarrassing, etc.) So the Dermatologist or Surgeon is the next step for me. Hope you get cleaned up and live a normal life again which is what I'm aiming for. No sex life at all right now. Take care for now.
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I'm going through something very similar.  What happened with your scars?
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Avatar universal
When you say eat healthy.. What types of food ? I have been battling outbreaks every other week since I've found out a little over 2 years ago. Because I am pregnant my hormones Could be causing them more frequently! I've tried everything and pretty much doctors tell me it's nothing to get rid of, I would really like to give this method a try. The dark scars are very embarrassing especially on someone we lite skinned as myself :(
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Avatar universal
hey this is a message for Doublewhammy145; i hope your scars have continued to improve brother. i am going to a similar issue at this time and was curious how you have been dealing with it all? i heard HSV-1 outbreaks might never occur again after the first one - have you had a second outbreak? how are the scars?
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Avatar universal
there is a cure. tell her to buy olive leaf extract 40%. Don't let doctors tell you lies.
herpes is not for life. herpes should be the easiest thing for doctors to cure!
I know how she feels, I have been cured. tell her to eat healthy while she take the pills. She will feel it working. she will stop getting breakout in just 3-4 days
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Avatar universal
there is a cure. tell her to buy olive leaf extract 40%. Don't let doctors tell you lies.
herpes is not for life. herpes should be the easiest thing for doctors to cure!
I know how she feels, I have been cured. tell her to eat healthy while she take the pills. She will feel it working. she will stop getting breakout in just 3-4 days
Helpful - 0
Avatar universal
Coming from a woman's point of view, how do you remove scarring on the vaginal and bikini area from herpes. My older sister has had this thing for bout 10 years. We are the only 2 so we are very close and to see her like this makes me feel so sad for her. She has the scarring on her bikini area the little dents that look like chicken pox marks and the scars from old outbreaks, she wants to have a life , even if it means not a love life, she cannot wear bikini's or anything because they show they do. She has tried the body foundation and concealer but the marks are still visible... What can she do?
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Avatar universal
Coming from a woman's point of view, how do you remove scarring on the vaginal and bikini area from herpes. My older sister has had this thing for bout 10 years. We are the only 2 so we are very close and to see her like this makes me feel so sad for her. She has the scarring on her bikini area the little dents that look like chicken pox marks and the scars from old outbreaks, she wants to have a life , even if it means not a love life, she cannot wear bikini's or anything because they show they do. She has tried the body foundation and concealer but the marks are still visible... What can she do?
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Avatar universal
What do you mean you never have to treat an outbreak?
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Avatar universal
Yeah, I'm not at all surprised. Laser treatment is used to remove HPV warts, and is effective in removing scars all over the body.

It might take a few sessions to remove the scars completely, but it will be done.

I'd still continue to apply the eucerin daily as it's effective in softening the skin, and will likely help with your scars. Your white spots could be just discoloration from irritation, but it seems like your dermatologist knows they are scars, so you'll get it treated. Even if it is just skin discoloration, laser treatment can effectively bring it back to normal (Example: Tattoo ink being eradicated from the skin and body completely from laser treatment).

Good news is that you'll probably have another outbreak again as is typical with HSV-1, and most of the adult population has it (50-90% depending on age), so they are immune or at the very least highly resistant to acquiring it in another location.
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Avatar universal
UPDATE for all those interested who may be searching

Saw the dermatologist.
Laser resurfacing is available and can be done on the penis.  It's done for papules and vitiligo, and he said it could be done for scars on the glans.

He told me that he was encouraged by how much better they looked from last time (I guess if you look several times everyday it doesn't look like much improvement), and said that I should wait 6 months to see how well it heals naturally, and if I still wanted to do it I could. He said it might not be perfect, but not very noticeable to anyone else at that time.
So, I guess it's the waiting game for now, but I'm comforted a little by his examination and the fact that there are options.
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101028 tn?1419603004
oh I'd stop using the xerese on this!! It is only designed for cold sore use and has a topical steroid in it.  topical steroids in the genital area thin the skin over time as well as trigger herpes to be more active.  

you never, ever, EVER have to treat herpes ob's. Not getting diagnosed early into things doesn't make any difference.

your lil white spots actually don't sound like scarring either.
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Avatar universal
Thanks for the recommendations.  I didn't pick any of the scars and had been applying xerese and eucerin when I was diagnosed.  I had a prolonged exposure in my primary due to a misdiagnosis, that cost me about a week of time.  I would like to think the scars won't be noticeable to anyone else, but they are boxcar atrophic scars on the head and they show as little white spots on the head in this cluster that was there, but most everything else cleared up, (some discoloration on the shaft, but that doesn't bother me as much.  Thanks for your answers, I'll see a dermatologist in a week or so, and he'll probably tell me to wait but it's been almost 5 months so I don't think I'll see much improvement beyond this point.  Thanks for the help. I'll try and be patient before exploring more aggressive treatment.
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Avatar universal
You really cannot be picking at these; this causes unnecessary trauma, which leads to scaring.

The silicon scar gel sheets I used were provided to be by a plastic surgeon after surgery on my cheeks, and although they did reduce the scar by somewhere around 80%, I still got laser scar removal to completely erase the scar. As Grace pointed out, the genital skin is definitely much more thin, sensitive, and delicate, so products that should be used on it will be recommended to you by your dermatologist. Of course laser scar removal can be used on the genitals to treat scars since laser removal is commonly used in removing warts caused by HPV. From my personal experience, laser therapy is not bad at all and involves very little pain after a session of laser treatment although the pain might be a little annoying when the treatment begins (it feels like bacon grease that occasionally splashes up and hits you in the wrist when you're cooking; nothing too painful). This treatment is short, effective, and convenient.

Eucerin is an extremely mild lotion that can be applied to genital skin without problems, so if you choose to get these scars zapped, I suggest next time to avoid scars, use Eucerin and absolutely do NOT pick at these.
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101028 tn?1419603004
I totally agree with castello about this - it all probably looks more prominent to you than to others. Give the skin time to heal. A basic moisturizer for the genital area isn't a bad idea - a&d ointment would be fine to try.  

certainly don't try anything at home on your own for scar removal. the genital skin is very delicate and many otc scar treatments will just cause further problems in the genital area so do indeed seek out professional help if these still seem too prominent to you in a few months.

grace
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Avatar universal
Herpes, especially genital HSV-1 usually doesn't scar. You should consult a dermatologist or plastic surgeon regarding your scars, but you can definitely get laser scar removal on the penis. I suggest seeing a dermatologist in your area who will likely give you something to apply directly on the scars, and if that doesn't work then a dermatologist can laser the scars away. If a dermatologist doesn't want to do it then a plastic surgeon will.

Although I've never known anyone who's experienced scarring from herpes, I have used silicon gel scar sheets on wounds, which improved the scars by at least 80%. You are probably the only one who notices your scars.
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