I have had dark discolouration in my knees, elbows and underarms for a long time. How can I treat this?

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

pigmentation is best treated with at home cosmelan or enlighten peels, vivatia foam, isdin body lotion, skinceuticals phyto plus and restorsea 10x cream.  see link to emeragecosmetics.com where we do at home peels virtual consults and free skincare consults daily.  
Hyperpigmentation from any type needs a combination approach of peels like cosmelan,  lasers like clear and brilliant and aerolase or laser genesis, radiofrequency like venus viva, and constant skin care and sun protection.  Bimontly facials with silk peel dermalinfusion is essential to hydrate, exfoliate and infuse vitamins and antioxidants into the skin.  If you have acne you can do additional treatments and peels to get more improvement.  I suggest a formal consultation with an expert in lasers and peels. Best, Dr. Emer.

There are several lasers available on the market now. You can visit a trusted practitioner in your area to know the best treatments for you. You could also opt for IV therapy. It is a procedure where a special concoction of minerals and vitamins depending on your needs is injected directly into your bloodstream. You receive higher concentrations compared to what you normally can take if done orally.