What treatment do I need for dark spots on skin? (Photo)

Hello,

Dark spots on the legs are very common and are usually caused by sun exposure, irritation (like shaving or insect bites), or benign growths such as age spots or seborrheic keratoses. The exact treatment depends on what the spots are, so an in-person dermatology exam is important.

In general, treatment options may include:

Prescription lightening creams (such as hydroquinone, azelaic acid, or retinoids) to fade dark pigmentation over a few months
Chemical peels to improve discoloration and skin texture
Laser treatments, which are often very effective for stubborn dark or rough spots when done by an experienced dermatologist
Cryotherapy or minor procedures if the spots are raised or rough
Daily sun protection is essential, even on the legs, as sun exposure can worsen dark spots and cause them to return.

In London, I recommend seeing a board-certified dermatologist at a reputable clinic, such as those on Harley Street, The London Clinic, or an NHS dermatology department (for example, Guy’s & St Thomas’ or King’s College Hospital). Look for providers experienced in treating pigmentation concerns, especially if you have darker skin tones.

A dermatologist will be able to confirm the diagnosis and guide you toward the safest and most effective treatment plan for your skin.

This type of discoloration is known as post-inflammatory hyperpigmentation and is something we can treat in our office. Most patients will benefit from topical therapy which includes Melapads, Melarase PM, and a retinoid. That is the strategy we use in our office with products. At the office, we would begin with exfoliative lasers that can remove pigmentation including a pico laser and BBL.

Best,
Dr. Karamanoukian
Realself100 Surgeon