Hi
It looks like you had quite a severe burn over your left leg that has recovered with a large patch of post inflammatory hyperpigmentation. I do not see any scarring over the patch which is a good thing.
It looks like the hydroquinone and Arbutin cream has not worked well. I am not sure of the concentration of the products you are using but in my opinion if you are not contemplating laser treatment you can consider the following:
- Chemical Peeling — there are various types of peeling available to lighten pigmentation. At my clinic we use a modified TCA peel that lightens the pigment with no downtime.
- Lightening creams — we use a proprietary blend of hydroquinone, tretinion, and triamcinolone which is like a triple formulation similar to Kligman’s formula.
- Vitamin C iontophoresis to lighten the hyperpigmentation.
If all these fail, then you can contemplate the laser treatments.
Hope this helps
Dr KK Chew
