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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
TCA peels are wonderful to even out color problems for knees and elbows but often need repeating until the color looks even. It is easy to undergo.
Thank you for your question. Rough and darker skin is common on peoples elbows and knees. There are various creams that your dermatologist can prescribe you with either Urea, Salicylic acid or Ammonium Lactate that can be used to help soften and lighten up these area. I would recommend you make an appointment with a board certified dermatologist to get you in the right direction.