Hormonal acne left behind dark spots - what cosmetic procedure will get rid of them? (photos)

Acne scars are usually characterized within the subtypes of atrophic, hypertrophic, pigmented, or inflammatory. These subtypes of acne scars can be visually discerning in ambient light and can cause significant cosmetic concerns. Indented and atrophic scars require a combination approach to stimulate collagen and elastin, thereby smoothing contour and uneven skin. These are usually combined with lasers and depigmentation protocols to reduce inflammatory hyperpigmentation (Melarase AM and Melarase PM). Our Hidef protocols for acne scars include fillers such as Sculptra, Juvederm, Radiesse, and Restylane to improve deep acne scars; Vascular lasers to reduce inflammation and post-inflammatory redness and erythema; Fractional lasers to smooth contour and collagen; and Fractional RF to stimulate production of collagen within atrophic scars. Textural improvement and superficial scarring can be improved with Cosmelan peels, TCA Cross for ice-pick scars, deep chemical peels, and fractional CO2. We offer a personalized approach to your combination of scars and a formal evaluation with consultation is recommended to help you achieve your final results. Our plastic surgery office offers subcision and combination TCA Cross to help reduce deeply pitted scars. In terms of pigmentation and skin resonance, we recommend daily use of Melarase AM and Melarase PM coupled with Retinoid creams to achieve brilliant skin.

Best,
Dr. Raffy Karamanoukian
Realself100 Surgeon

Hello,

Dealing with post-inflammatory hyperpigmentation (PIH) from hormonal acne can be challenging, especially when topical treatments haven't provided the desired results. There are several cosmetic procedures that can help reduce these dark spots more effectively:

Chemical Peels: These involve applying a chemical solution to the skin, which exfoliates the top layers and promotes new skin growth. This can help lighten dark spots over time. Peels with glycolic acid, salicylic acid, or trichloroacetic acid (TCA) are often used for hyperpigmentation.

Laser Treatments: Fractional laser therapy or intense pulsed light (IPL) can target pigmentation and promote even skin tone. These treatments can be very effective but usually require several sessions for optimal results.

Microneedling: This procedure uses fine needles to create micro-injuries in the skin, stimulating collagen production and helping to improve skin texture and tone. It can be particularly effective when combined with topical treatments.

Microdermabrasion: A less invasive option, this procedure exfoliates the skin's surface, helping to reduce pigmentation and improve skin appearance. It's generally used for mild cases of hyperpigmentation.

Prescription Topicals: While you've tried over-the-counter options, prescription-strength treatments like hydroquinone, retinoids, or a combination of both might be more effective.

It's important to consult with a board-certified dermatologist to determine the best treatment plan for your skin type and condition. They can tailor a regimen that combines these procedures with appropriate skincare to maximize results.

Best regards,