How do i remove dark spots from my legs and stomach? (photo)

Question

I have lots of dark spots on my body from ingrown hair. I exfoliate abt 3x a week and this helps to keep the spots lighter. Plus, i use kojic soap for overall exfoliation. I have used bleaching creams on my stomach. The spot lighten but not disappear. I also used two 18% TCA peels on my stomach area. The spots are lighter but the skin in the area became a lil darker. i also I experienced a chemical burn and have an addtional triangler scar. This was a home peel. Suggestions?

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

Post-inflammatory hyperpigmentation (PIH), as the name suggests, is the brown spot, skin-blotchy aftermath of any prior inflammation, whether it is from surgery, infection, trauma, or other inflammations of the skin, like acne or  folliculitis. Ingrown hairs engender inflammation in and around the hair follicles, as do various depilatory treatments to remedy the problem. The result PIH. And as long as the inflammation persists or recurs, so does the PIH.Consultation with a board certified dermatologist is essential for getting ahead of this problem, which for some people can become a chronic nuisance that follows every attempt at hair removal. Dermatologists with extensive experience in treating this condition will prescribe prescription topicals that can reduce the development of inflammation, as well as other topicals that can help bleach and treat the inflammation should it appear. In addition, s/he would most likely recommend a series of superficial peels, such beta hydroxyacid peels or Jessner's solution to directly treat existing PIH itself.

How do i remove dark spots from my legs and stomach? (photo)

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