Will this hyperpigmentation after TCA cross fade over time? (Photos)

Question

Would love the second opinion and if I should do any treatments ot wait. I have hyperpigmination after TCA cross, it’s devastating and is not looking better. I use mandelic acid serum, retinal ans vit c. Will ir fade over time?

Raffy Karamanoukian, MD, FACS · Answer

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

Will this hyperpigmentation after TCA cross fade over time? (Photos)

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Will this hyperpigmentation after TCA cross fade over time? (Photos)

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