Hyperpigmentation Q & A

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David Hansen, MDDavid Hansen, MD

Can a TCA chemical peel treat post inflammatory hyperpigmentation (PIH)?

TCA chemical peels really help with post inflammatory hyperpigmentation such as acne marks.  If your skin is more asian or black then a few light TCA peels 10-15% every 2-3 weeks do good.  I like to use a bleaching cream with it as well... more

Mary Lupo, MD
Mary Lupo, MD

Hypo-pigmentation After Fraxel Repair

To really answer this question, I'd need more information about your skin type and the settings used for your Re:pair treatment. In general, the healing time for an aggressive Re:pair will be weeks and not days. The redness can last for 2-3 weeks... more

Kamran Jafri, MDKamran Jafri, MD

Can a TCA Chemical Peel get rid of under-eye fine lines and blood vessels?

Hello in Jo-Burg, TCA peels are a very effective way to improve skine tone, fine wrinkles and discolorations.  They are not as effective with blood vessels below the skin for the simple fact they do not penetrate deep enough to do so (nor... more

Ronald Shelton, MD
Ronald Shelton, MD

Chemical peel vs. Laser - which is better for fine lines, sun damage?

Medium depth chemical peels create peeling for 5 to 7 days. They do help with photodamage but are less helpful with fine lines than some laser treatments which can also take one week to heal. more

Richard W. Westreich, MD
Richard W. Westreich, MD

What's the best minimally-invasive treatment for hyperpigmentation caused by chemical peels?

Two weeks after a chemical peel is a very short period of time in relation to healing. The first thing I would recommend is patience in terms of the color variation. You should be using a sun block of at least SPF 30 during this time. Most... more

Dr. Payman SimoniDr. Payman Simoni

Fraxel side effects - What causes pigmentation side effects and are they permanent?

Any laser or chemical resurfacing can causes skin darkening and discoloration that show up as spots, or as large patches on face or body. This is because cells that normally produce brown pigment of your skin go into overdrive. This happens... more

Richard P. Rand, MD
Richard P. Rand, MD

What's the best age spot treatment for sun damaged hands?

The IPL (Intense Pulsed Light) lasers work very well for sun spots on the hands. They are simple and safe and cost effective. Plus there is virtually no down time, recovery or risk when done in the medical office by qualified people. more

Kris M. Reddy, MD
Kris M. Reddy, MD

How can I get rid of age spots?

There are a number of treatments that can be used in isolation or in conjunction. Lasers such as Fraxel provide gradual improvement for age spots. Hydroquinone creams such as Obagi provide excellent results for many patients. ... more

Lori Haney, R.N.
Lori Haney, R.N.

Does Cosmelan work better than IPL for sun damage?

Hi Chrissy, I'm surprised we don't receive more questions about sun damage to the chest, which is a common problem for many women especially here in Southern California. This condition is called poikiloderma and usually presents as red/brown... more

D.J. Verret, MD
D.J. Verret, MD

Chemical peel - does it work for hyperpigmentation?

Absolutely! TCA or deeper chemical peels do very well to treat hyperpigmentation. Great care should be taken though as pigment irregularities and scarring can occur if not done by an experienced clinician with close follow-up. After a chemical... more

Is Hypo and Hyperpigmentation from Pixel laser permanent?

Q: I had my first Pixel laser treatment done with Yag laser three weeks ago. I am noticing more hyperpigmentation where there was none before and it seems each time I wake up I see more white spots (like a deer), hypopigmentation, where again I... more

Should I stick with at-home Peels for hyperpigmentation?

Q: I have brown skin, with hyperpigmentation on my neck caused by a cut I sustained years ago. I've since had an IPL, CO2 Laser, Chemical Peel, and steroid injections, and now my scar is extremely smooth, but dark brown in color! I tried an at-home... more

Can Fraxel laser fix hyperpigmentation caused by other laser treatments?

Q: I have undergone 6 sessions of laser photo facial but the discoloration has gotten worse, became much darker and spread more on my face. My doctor has recommended that I try fraxel, is there still hope after they damaged my skin? If laser photo... more

when I should start thinking of doing skin rejuvenation?

Q: I'm a woman my age is 33 years. I have white skin and I have a little sun spots on my cheecks and pegmentation. and I have three three acnes around my face. I was adviced to after my facial session to do a skin rejuvenation session ...do u think... more


 

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