What treatments will help with dark inner thighs? (Photo)

Question

I've had dark inner thighs since my teenage years due to friction and tight clothing. I went to a dermatologist and got a biopsy. The result came out as epidermal hyperplasia. I used hydroquinone 4% with 0.5% tretinoin for 6 months with 3 month break in between. It made my inner thighs way darker. I also had peeling & inflammation. I'm desperate to lighten my groin area I took azithromycin while pregnant but it was also ineffective. What kind of laser treatment would help? Any other treatment

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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