I've had these dark spots for a while now - is there anything I can do to treat this? (Photo)

Question

Man 55 years old 170cm 70kg. Good morning Doctor, is there a way to lighten these spots. Thank you very much

Anna Chacon, MD, FAAD · Answer

Good morning,

Thank you for reaching out with your concern about dark spots. Here are some potential steps and treatments you might consider to help lighten these spots:

1. **Topical Treatments**:
   - **Hydroquinone**: This is a common skin-lightening agent that can help reduce the appearance of dark spots. It can be found over-the-counter in lower concentrations or prescribed by a doctor in higher concentrations.
   - **Retinoids**: These vitamin A derivatives can promote cell turnover and improve skin texture and tone. Prescription-strength retinoids are usually more effective but can be more irritating.
   - **Vitamin C**: This antioxidant can help brighten the skin and reduce the appearance of dark spots.
   - **Alpha Hydroxy Acids (AHAs)**: These exfoliants can help remove dead skin cells and promote new skin growth.

2. **Professional Treatments**:
   - **Chemical Peels**: These treatments use acids to exfoliate the skin and can help lighten dark spots.
   - **Laser Therapy**: Different types of laser treatments can target pigmentation and help reduce dark spots.
   - **Microdermabrasion**: This procedure exfoliates the skin and can help improve the appearance of dark spots.

3. **Sun Protection**:
   - **Sunscreen**: Consistently using a broad-spectrum sunscreen with at least SPF 30 is crucial. Sun exposure can worsen dark spots and make them more difficult to treat.
   - **Protective Clothing**: Wearing hats and long sleeves can help protect your skin from further sun damage.

4. **Lifestyle and Home Remedies**:
   - **Healthy Diet**: A diet rich in antioxidants (like fruits and vegetables) can support skin health.
   - **Avoiding Sun Exposure**: Try to stay out of the sun during peak hours (10 AM - 4 PM).

5. **Consult a Dermatologist**:
   - Since dark spots can have various causes (e.g., sun damage, aging, hormonal changes), it may be beneficial to consult with a dermatologist. They can provide a precise diagnosis and tailor a treatment plan to your specific needs.

Please let me know if you have any other questions or need further assistance in contacting a dermatologist.

Best regards,

Anna H Chacon, MD

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. 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 discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

I've had these dark spots for a while now - is there anything I can do to treat this? (Photo)

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