I'd like to lighten labiomental crease skin surgically to match the rest of my skin (Photos)

To address your concerns about the hyperpigmented atrophic scar on your labiomental crease, a consultation with a dermatologist or a plastic surgeon would be beneficial. Here are some surgical and non-surgical options that might be considered:

Laser Resurfacing: This procedure can help lighten hyperpigmentation and smooth out atrophic scars by removing layers of skin, promoting new skin growth.

Chemical Peels: Although you mentioned creams and peels haven't worked, a deeper peel performed by a professional might yield better results than over-the-counter products.

Microdermabrasion or Dermabrasion: These techniques can help to exfoliate the top layers of skin, potentially reducing pigmentation and improving skin texture.

Surgical Excision: If the scar is small and well-defined, surgical removal followed by careful closure can be an option. This might replace the scar with a finer line scar that could blend better with the surrounding skin.

Subcision: This is a minor surgical procedure used to treat atrophic scars. It involves inserting a needle under the skin to break up the fibrous tissue that is pulling the skin down.

Fillers: Dermal fillers can be injected to raise the atrophic scar to the level of the surrounding skin, which can also help in improving the appearance of the scar.

Skin Lightening Treatments: Prescription-strength skin lightening agents such as hydroquinone or other topical treatments might be considered under the guidance of a dermatologist.

It’s essential to have a thorough examination and discussion with a specialist who can evaluate your specific case and recommend the most appropriate treatment plan. They can also discuss the potential outcomes and any associated risks or side effects.