Plastic surgeons use many different lasers that utilize light energy in different ways. Some resurface the outer layers of the skin and some are designed to penetrate deeper to work on blood vessels or pigment below the skin surface. An evaluation by a surgeon is necessary to determine the exact nature of your problem. Generally, resurfacing is not recommended on the extremities. Certain vascular lesions are often treated. Pigmentation problems will probably not be amenable to treatment with lasers. I am concerned about your diabetes. An individual's response to injury can be affected by diabetes, since the lasers create a controlled wound. An individual's inability to heal properly may lead to unacceptable results from a procedure that was used successfully in others. Lactinol is generally prescribed for the treatment of very dry skin. It is not likely to lighten pigmented areas.

Laser Surgery