Can I use microneedling to treat discoloration and dark spot in bikini area?

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello AKM1412, Thank you for your question. An in person consultation is always recommended for an accurate evaluation and proper treatment. There are many treatments options for treating hyperpigmentation. Series of microdermabrasion treatments paired with chemical peels that are safe for all Fitzpatrick classification will improve unwanted hyperpigmentation. In addition consulting a board Certified Dermatologist for a home care regimen will work in synergy with your office treatments. Hope this was helpful Best of luck ! 

For dark spots and discoloration I believe you would benefit from a combination of microneedling and chemical peels. Microneedling is an in-office procedure in which the area is topically numbed, and a handheld machine is used to poke tiny needles into the skin very quickly. With a numbing agent this is usually not uncomfortable. The “damage” that the needles cause the skin actually prompts collagen production and cell turnover, which improves the look of post-inflammatory scarring and hyperpigmentation. Patients usually need 4-6 treatments. Chemical peels would help address skin smoothness and overall skin brightness. Peels vary in strength and depending on your skin type, your dermatologist would select one gentle enough for this sensitive area. This process prompts cell turnover and leaves smoother, brighter, and clearer skin behind. Patients usually need 3-4 peels. I would suggest scheduling a consultation with a dermatologist to discuss these options.