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Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started. Best, Dr. Karamanoukian Realself100 Surgeon
Before you consider any treatment it is important to know if you are overweight/obese. You can have thicker skin which will appear as dark skin. In general, if your weight is not the problem, consider using mosturizer with lactic acid/urea on a daily basis for few months. The skin color will improve. If your work is in the outdoors, you should practice good suncare.
Neck hyperpigmentation generally is very deep pigmentation and usually does not respond to either peels or laser. I would discourage peels for this purpose as it not very likely to work and if not done correctly, can leave you with untoward side effects, scarring and uneven pigmentation.
