Voici le texte prêt à copier-coller : --- Subject / Titre : White scarring and fibrosis 2.5 years after combined TCA/phenol peel – persistent skin changes Message : Hello, I’m writing from France. About 2.5 years ago, I had a chemical peel that combined TCA 20% and phenol 10%, applied in two consecutive passes, spaced about 4–5 minutes apart. Since then, I have developed persistent white marks (hypopigmentation) and some areas of fibrosis, where the skin feels rigid or plastified, with an altered texture and a sort of loss of normal skin relief. In some spots, the surface looks almost like a thin plastic film over the skin, lacking flexibility and natural texture. I have seen two dermatologists, but they have different opinions on the condition and treatment options. I would greatly appreciate your opinion on the following: – Is there any hope of improving the skin texture or pigmentation after 2.5 years? – Have you treated similar cases, and what approaches (if any) were effective? – Can very gentle treatments such as low-energy fractional lasers or microneedling help in remodeling this type of fibrosis or white scarring? – Are there any topical options (like Melarase, or others) that could help soften or improve the appearance of these zones? I’m attaching a photo for context (if applicable). Thank you sincerely for your time and any insight you can offer. Best regards, Ourgaud Isabelle