Is it possible to permanently reduce this hyperpigmentation? (Photo)

Question

I have severe hyperpigmentation on my chin area and it does not want to go away. Hydroquinone, cortisole, tretinion, kojic acid, hyuloronic acid, retinol serum, skin lighteners, soaps, creams, oils, etc do not work and some even make it worse. Peels, subcision, microneedling, prp, etc. do not work either. In 2024, is there no doctor who knows how to deal with this? I find it odd that I viable solution has never been offered despite me willing to throw money at the situation. Please advise.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. 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 discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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