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Treatment of dark spots and age spots can be performed with fractional laser and Covalent chemical peels. I would start with the Kareskin brightening kit with Melarase AM and Melarase PM with Melapads. Best, Dr. KaramanoukianRealself100 Surgeon
I may be dating myself but if your remember the 1970's group The Little River Band" they had a song called "Love Takes Time." In Dermatology, legs take time. The lower down the leg, the longer it takes to heal. Usually scabs are healed within about 3 weeks. Discoloration can take several months to subside.
It usually takes 3-4 weeks for the brown spots to peel or scab off after liquid nitrogen treatment. Depending on your skin type, you may have some redness or pink discoloration for months after the treatment. This can be normal. If they don't clear up in the next few months I would recommend that you go back to your dermatologist for follow up.
After liquid nitrogen treatment, a sore or scab may persist as long as 3 months on the lower leg because healing in this site is often slow.
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...
You are on a good anti-aging regimen: Skinceuticals CE Ferulic, topical green tea, Tretinoin 0.05% Cream, and ZnO sunblock. You can try alternating 10% glycolic acid cream and Tretinoin 0.05% cream at bedtime or increase to Tretinoin 0.1% cream every night and use the glycolic acid once to twice...
I do believe heat can worsen one's melasma. In one study we did, we found that the brown was intimately associated with underlying blood vessels that dilate and get worse with heat. If the pigment is being fed by those blood vessels it would make sense the pigment would worsen as well, if not...