How can I get rid of these dark spots I have on both of my legs. They're from flea bites? (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 Patty.  Sorry to hear about your situation.  The first step in helping you along in the process or resolving this issue is to remove the stimulus for the bites.  You appear to have some older brown spots as well as new lesions that are healing.  Regardless of what treatment we propose for you, none will be effective unless you can stop getting bit.  Once you are no longer getting bug bites, then we can move forward successfully with treatment.  That would involve q-switched laser treatments or high strength (8%) hydroquinone bleaching products.  The case in the photo at the link below is similar.

Dark scars can be improved with a combination of Cosmelan, lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. I recommend getting a formal evaluation with a scarring expert. Best, Dr. Emer

The dark spots are from inflammation. These spots usually improve on their own if you protect them and keep them out of the sun. Hyperpigmented areas are more challenging to treat in patients who tend to have darker complexions and more natural pigment at baseline. Energy-based treatments such as laser and intense-pulsed light may make skin darker or too light compared to surrounding skin. A more gentle option is to use topical "bleaching" creams such as hydroquinone, however care must be given to apply the cream only to areas that are darker so avoid lightening normal skin. If these areas changed only recently, they may also improve over time naturally if kept out of the sun and protected. It is important to wear sunblock and to protect the areas when outside. For the best treatment options, it is important to visit an expert for an in-person examination. Best of luck!
Johnson C. Lee, MD
Board-Certified Plastic Surgeon
@drjohnsonlee

Thank you for your question and posting a picture.  It looks like you have Post Inflammatory Hyperpigmentation (PIH).  You have multiple options   If you are a skin type I-III, an series of IPL photofacials may be helpful.  We have also been very successful using the PicoSure laser with the FOCUS and / or Flat Lenses eliminating hyperpigmentation with a series of treatments.  FOCUS lens treatments have the extra benefit of reducing fine lines and wrinkles.  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.  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.