I have a lot of discoloration, dark spots, acne scaring and I want to get rid of all of it. Any suggestions? (photos)
Doctor Answers 4
Discoloration and Acne scars and Best Treatment - NYC
I treat so many patients with marks and scars from acne and dark skin. The key would be a combination of bleaching creams, Retinoids and chemical peels. Any residual scars should be treated with eMatrix or microneedling/PRP since you have dark skin. Fraxel would not be a good laser for you. Please consult an expert. Best, Dr. Green
Accutane, faders, peels and PicoSure
A Series Of Superficial Chemical Peels Can Help Speed The Resolution Of Post Inflammatory Hyperpigmentation
I have found a series of chemical peels, using such agents as full-strength glycolic acid, high concentration salicylic acid, low strength TCA and Jessner's solution to be very effective for promoting hastening of the fading and for better blending of the resolving areas with the surrounding normal skin.
It is difficult from the photos to clearly determine the kinds of true scars that are present. I see some shallow depressed scars and some pitting. Fractional microneedle resurface (aka medical microneedling, dermal rolling, etc), a relatively inexpensive treatment modality, can be quite effective for improving superficial tone and textural problems. Deeper pits (ice pick scars) might respond well to the TCA CROSS Technique.
Your best bet would be to seek consultation with a board certified aesthetic dermatologist with experience and expertise in treating acne and acne scars. And finally, although there is newer evidence to suggest that there is no need to wait to perform aesthetic treatments after Accutane, I would still suggest postponing aethetic treatments for at least a few months, just to be on the extra safe side.
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