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I have tried everything to treat this and have found very little that gives good results. Non ablative lasers, microsecond YAG, q switched/tattoo lasers can be tried. Sometimes peels such as VI work. Best, Dr. Emer.
I would suggest that the first line treatment would be to address the macular amyloidosis, which is often with appropriate topical corticosteroids. Once this treatment is optimized, then of any laser, I would suggest a Q-switched laser for pigmentation as the best option to deal with the hyper-pigmentation. Definitely seek treatment from a board-certified dermatologist.