Is there anything I can do to lighten my knees? (Photo)

Question

So I have really bad eczema and it's pretty bad on my knees. It has caused them to be really dark and wrinkly and nothing seems to b working .

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

Laura Riehm, MD · Answer

Thanks for your question and posting a picture.  We have successfully treated one of patient's hands with the same issue.  After some experimentation, we were able to get the best results with using the PicoSure laser with the FLAT lens.  Normally for rejuvenation, we use the FOCUS lens that targets both pigment and skin rejuvenation.  The FLAT lens just targets pigment.  Best of luck.

Michele S. Green, MD · Answer

I would recommend a combination of exfoliants and bleaching creams used in moderation for the dark areas on your knees. It will take time but chemical peels will also help lighten this area. Please consult a specialist in dark skin and scars for the best cosmetic results.  Best, Dr. Green

Kristine Brecht, MD (license suspended) · Answer

Dark skin patches can be annoying.
Until you treat the underlying condition the darkness will resume.
Spf 30 to the knees daily will help some.
Microneedling and some skin lighting treatments, skin medica has a nice one, may help.
Best. Dr Brecht

Is there anything I can do to lighten my knees? (Photo)

Answers (4)

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