Best Scar Removal Cream for Black Spots on Legs?

I have a lot of scars on my legs since I was 14. There are black spots all over my legs and I can't show them. Which is the best scar removal cream for it and where can I get it? Please help me!

Doctor Answers 7

Brown Scars on Legs - How do I get Rid of Them?

Hi Jebrain.  For the type of scar that you show in the picture, we would use one or two options.  Hydroquionone bleaching creams and/or q-switched Nd:Yg laser treatments.  Visit the link below and you will be able to read an article we wrote (and see pictures of) a patient that had bug bite scars on her legs and was able to wear a dress for the first time in years after visiting our office.

Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

I would recommend a really good bleaching medicine

Thanks for your question and thanks for including the photo as well. The photo shows what we describe
as post-inflammatory hyperpigmentation or PIH and it is important to have an evaluation with a board-
certified dermatologist to try to figure why these developed in the first place so that issue can be handled
appropriately. To actually treat the PIH in this area, we would recommend one of the really good
bleaching medicines on this, including those with hydroquinone. If one recommends a laser, perhaps a Q-
Switch laser would be effective on the legs, but caution needs to be given here as legs and lasers respond
differently in many than many when we treat this with lasers on the face. Again, consult with the right
provider to have this concern addressed.

Michael Gold, MD
Nashville Dermatologic Surgeon
4.0 out of 5 stars 18 reviews

The dark/black spots on your legs are not scars

These dark spots on your legs are not scars from the photos you shared. It seems that you have hyperpigmented patches which could be treated effectively with hydroquinones.  There are also some laser treatments that are highly effective.  Be certain to seek a board certified dermatologist to treat your condition properly.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

Black Spots on Legs - Cream

This condition can be treated with a topical cream called hydroquinone followed by a chemical peel for best results. Hydroquinone should be prescribed by a doctor and made by a compounding chemist. My preferred prescription is Hydroquinone 4% with Vitamin C mixed in sorbolene cream. Apply a small amount on each dark spot. After 3 weeks a chemical peel can improve results and then continue with the Hydroquinone/Vitamin C. Be sure to wear sunscreen during and after treatment to reduce the chance of recurrence. Dark spots can be caused by the sun, be genetic, after pregnancy, while on the pill or hormone medication. The cause of discolouration needs to be avoided.

Joseph Rizk, FRACS (Plast)
Sydney Plastic Surgeon
5.0 out of 5 stars 11 reviews

Black spots on legs

I would recommend Hydroquinone %4 to be applied once a day until the desired effect is seen. This cream is basically a "bleaching" agent that is very effect for these dark areas. Please consult with a board certified plastic surgeon.

Robert Najera, MD
Frisco Plastic Surgeon
5.0 out of 5 stars 26 reviews

Comprehensive Approach to Post-inflammatory hyperpigmentation of legs

Post-inflammatory hyperpigmentation on legs is a common and problematic skin condition that affects disaproportionately individuals of ethnic skin color. While the mainstay therapy would be a combination of bleaching cream, retinoid cream, glycolic acid or vitamin C as prescribed and supervised by a board-certified dermatologist, it is critical that you #1 minimize further trauma in affected area, #2 achieve strict daily sun protection with sunscreen and sun protective clothing, #3 leg elevation when possible to improve circulation, and #4 frequent application of emollient/moisturizer, particularly after shower.

William Ting, MD
Bay Area Dermatologic Surgeon
4.8 out of 5 stars 12 reviews

Dark spots on the legs can be corrected with Melapads and Melarase creams

I see this condition very often in patients with Olive or Black skin. I perform chemical peels in the area and combine the regimen with topical cream treatments. The results are effective. I would use Melarase twice daily for the hyperpigmentation.

The development of dark spots on the legs post insect bites is known as PIH, or post inflammatory hyperpigmentation. This results in an overstimulation of pigment granules that often get trapped within the dermis of the skin. In my practice, I use the Melarase creams (Melarase AM and Melarase PM) because they can decrease the rate of production of abnormal melanin and enhance exfoliation of existing melanin.

Melarase AM contains four active sunblocks + skin lighteners.  Whereas, Melarase PM contains HQ and natural skin lighteners with an exfoliant.  The process will take some time, but is highly effective.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.