The treatment of hyperpigmented scars can be challenging. Moderation is often the best course, particularly early on in the treatment process especially in dark skinned individuals, First, it is key to use sun block to minimize sun exposure to the region of concern. Second, there are a number of skin care preparations that can address the inflammation associated with the hyperpigmentation as well as the darkening itself.
Your physician can ask a local compunding pharmacy to mix up a special preparation of Retin A, Hydroquinone, Kojic Acid, and a topical steroid into a formulation that can be applied topically to the regions of concern. I would consider this conservative approach prior to moving on toward lasers and other more complicated treatment options.
