Flea bites /// brown spots
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.
