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Dr. Andrew Rynne

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How to get rid of dark spots caused by mosquito bites and old chicken pox scars?

dark spots caused by mosquito bites and old chicken pox scars how do i get rid of dark spots caused by mosquito bites and old chicken pox scars? I am 14 years old, female and i have alot of dark spots on my skin . When i was eight months old i got the chicken pox, my mom brought me to a few doctors and they said that my case of chicken pox was back some siad that s the worst they ever seen. They recommended camomile lotion but it did not work. Now that i am 14 some of the marks are still on my skin and some are a little bit fading away. Last summer i went to the caribbean and mosquito bit me. The mosquito bites would get swollen then make a pouche full of this clear liquid then pop. And when it heals it starts to make black spots. wchich adds to the chicken pox scars. I have these marks all over my arms, legs, and butt. I do not have them on the rest of my body just on those places mentioned before. I ve used bio-oil, pure cocoa butter, tea tree oil and now my pediatricien told me to soak in backing soda for 15 minutes and apply Fucidin Cream ( Fusidic acid cream 2%) with 15 HYDERM (1%) topic cream twice a day. But I don t see any results. How do i get rid of those ugly scars in a short period of time?
Sat, 14 May 2011
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Dermatologist 's  Response

Welcome To HealthcareMagic forum,

What you are left with is called POST INFLAMMATORY HYPER-PIGMENTED SPOTS.we very often see them after chicken pox and mosquito bite.Most probably the condition what you have over legs and arms is called PRURIGO SIMPLEX.This is seen because of mosquito bite where in patient gets small dark spots over legs and arms.

I would like to ask you here that do you get itching over arms and legs.

If yes,then you should first use topical steroids to reduce itching

along with oral anti histaminics tablets .
Once relieved ,you should take treatment of pigmented spots.
There are creams like hydroquinone(of varying strength ) which can be applied topically at night .Creams like tretinoin and glycolic acid creams can also be tried.If marks are superficial these cream would reduce them.
If this doesn't work then you should try lasers .There are specific lasers like Q-switched Nd:yag laser (1064nm) which works specifically on pigmented lesions .One requires multiple sessions of the same depending upon the depth of the pigment.
For chicken pox marks ,it depends what the problem is .There are two things which we see in chicken pox marks -one that the lesion is depressed and second that the lesions is darker than the normal skin color. For depressed lesions you should go for any fractional lasers which would reduce the depth of the lesion.And for pigmentation you can try again Q-switched Nd:yag laser .
Along with this you should always use a good spf sunscreen over exposed areas of body.
I hope I've answered your question,in case you have further question you can write back to us.

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Dermatologist Dr. Gaurav Patel's  Response
hi u have chickenpox scar and pigmentation is there.
for scar u need to consult dermatologist.
dermaroller .laser ,peeling give good result
for pigmentation u need to apply hydrocortisone cream with antibiotic .
avoid sun exposure
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Dermatologist Dr. Bharat Chawda's  Response
Hi again,

Alana, I have been doing lasers for last 12 years now,so I would prefer a laser ,as creams take a long time to show response .But you have to select a good laser clinic for that.Also,its not just the machine but the man behind the machine also which is important.
And please have a realistic expectation with lasers ,because at times the lasers too show variable result.I am sure your treating doctor would explain you that in detail.

“ Wish you Good Health”

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