Dark patches in my underarms, which are not going away after scrubbing. What should I use or do? (photo)

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

Hi,
Consider having laser hair removal because in addition to removing the dark hair follicle it can also lighten the skin by doing IPL or BBL over the area. Hair removal can take 6-12 treatments and they are usually done 4-8 weeks apart depending on office policy and your growth cycle.

Thank you for your question. We have been very successful lightening the pigment and scar tissue in personal areas including areolas, bikini area, knees & elbows using the PicoSure laser with the FOCUS and / or Flat Lenses with a series of treatments. We would encourage you to find an experienced provider with excellent reviews that can competently handle this. We prefer the PicoSure's 755nm for pigment & scar correction in patients with darker skin. FOCUS lens treatments have the extra benefit of reducing any texture issues. PicoSure has almost no downtime. This is one of our go to treatments for patients older than 40 and worried about the signs of aging. This laser is safe for all skin types. We also send some hyperpigmentation patients home with prescription strength 4% Hydroquinone (HQ). Do not buy it over the counter or off the internet. Laws vary by state. In Texas, physicians can prescribe and dispense in office. Start with sunscreen every day! Once you have treated your hyperpigmentation to your satisfaction, you will probably need a follow treatment every 6 to 12 months depending your level of re-pigmentation. Best of luck.