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Assuming that these are purely cosmetic areas of PIH, I would suggest using Melarase creams to improve pigmentation of the skin. The cause of the pigmentation should be assessed. Best, Dr. Karamanoukian Los Angeles
Thank you for your question and photographs. The first step will be to see a board certified dermatologist or plastic surgeon for a full medical history and workup. Assuming there are no medical conditions that may be predisposing these scars, a good skin care regimen can be instituted to improve the overall health of your legs. This will revolve around good moisturizers, sunblock and bleaching creams. This should result in excellent overall improvement. Any residuals scarring would then have to be addressed with more aggressive therapies with lasers or surgery.
I would use a combination of Exfolase lotion mixed with Melarase creams to lighten the discoloration on the genitals. In addition, once or twice weekly exfoliation with Melapads may help. Best, Dr. Karamanoukian Los Angeles
Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and...
I would begin with application of Plato's Scar Serum and pulsed dye laser to the scar, followed by a combination of fillers and laser resurfacing. Best, Dr. Karamanoukian Los Angeles