Calf area is scarred and pigmented. What can I apply to diminish the scar & lighten it? Would in-office treatments help? (Photo)

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

You can always use a pigment gel or retinol if you want topical products. Make sure to stay out of the sun and wear sunscreen. Chemical peels would also be beneficial. For laser treatment we could use the PicoSure laser or the 1540 to help with the discoloration and remodel the scar to make it appear smaller and lighter.