Late 40s, 5'11, 160lbs, no health issues - how can I get rid of this shin discoloration? (Photo)

Question

I've had what can only be described as a stain like appearance that runs from my lower left shin to my mid shin for years. The discoloration hasn't gotten bigger or darker but it hasn't gone away in 20+ years. I'm in my late 40's and have had this condition as long as I can remember; at least mid/late 20's. I'm 5'll, 160 lbs with no health issues. My natural skin tone is olive/light tan. What is this and how do I get rid of it? Is there a treatment?

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! It's hard to say exactly what the pigment change (melasma?). There are options. I would recommend consultation with a surgeon who also has a MedSpa with access to energy-based treatments and peels. Options would include IPL or CO2. There are lightening creams as well for pigment like hydroquinone. Some peels may assist with reducing the intensity of the pigmentation. Hope this helps!

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

Late 40s, 5'11, 160lbs, no health issues - how can I get rid of this shin discoloration? (Photo)

Answers (2)

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Late 40s, 5'11, 160lbs, no health issues - how can I get rid of this shin discoloration? (Photo)

Answers (2)

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Everything you need to know about Skin Lightening

Our mission is to create a world where every investment in modern beauty is Worth It.