Best Products for Lightening Old Scars?

What are the best products to remove dark spots caused by sores? These scars are over 17 years old. I have tried bleaching creams but the dark mark just faded slightly while the other unaffected areas get really pale. What would be best for someone who have not tried any products on the scars of the same age?

Doctor Answers 3

Reducing dark discoloration of the skin over scars with Melarase creams

I would start treatment with topical Melarase cream to reduce pigmentation of the scars and lighten dark discoloration. Raffy Karamanoukian Los Angeles

Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Laser Treatments for old dark scars

Hi Fergie,

In addition to the sun protection noted by Dr. Ting, we would recommend q-switched laser treatments. Hydroquinone bleacing creams are typically the first choise when addressing this type of scar, but when they fail, q-switched lasers are very often still effective. Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.3 out of 5 stars 6 reviews

Comprehensive clinical approach to pigmentation of scar

The critical step to take is to achieve daily sun protection even if the scar tissue is in an area not exposed to the sun. This means you should apply high SPF sunscreen underneath your clothing in the affected area as not all clothing are equal in their sun protective capability. In addition, you must ensure that the underlying trigger for the 'sore' is taken care, e.g. eczema. Consider antioxidant vitamin C serum in morning prior to sunscreen and higher percentage hydroquinone based bleaching cream at night prescribed by a board-certified dermatologist.

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