What treatment should I go for? If chemical peels then what kind of peels ? What medicines or creams should I use? (photo)

Question

My buttocks is covered by dark spots and bumps,all over,more than 10 years. I am really worried. I have used benzoyl peroxide soap, adaferin and so on.. nothing worked..

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Laura Riehm, MD · Answer

Thank you for your question and posting pictures.  It looks and sounds like you might have Post Inflammatory Hyperpigmentation (PIH).  It may fade on its own over time.  Topical fading creams may also help.  We have 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.  I hope this helps.

What treatment should I go for? If chemical peels then what kind of peels ? What medicines or creams should I use? (photo)

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What treatment should I go for? If chemical peels then what kind of peels ? What medicines or creams should I use? (photo)

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Everything you need to know about Chemical Peel

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