Peter Malouf, DO
Fort Worth Dermatologist
Recent answer posted by Peter Malouf, DO
Q: Upper lip hyperpigmentation after laser hair removal asked by Lr Plano, TX
Ir,
It would be very important to see the extent of the hyperpigmentation and your skin type first, as well as establish whether it is melasma or post inflammatory hyperpigmentation.
In addition to religious sunscreen usage, it is also important to use sunscreens that are physical blockers and not chemical blockers. The difference is, physical blockers actually reflect UV and chemical blockers absorb and convert UV to heat, which can make pigmentation (especially melasma) worse in appearance and symptoms. (look for zinc oxide, or titanium dioxide ).
As far as treatment, all you have mentioned are helpful. I think it is very important to realize, however, that chemical peels and lasers can result in hyperpigmentation in and of themselves. I would start with Hydroquinone 4% + Hydrocortisone 2.5% + retin A .05% compounded by the pharmacist. This compound is usually 70% effective.
I would then work up to chemical peels and laser technology.
| Board certification | |
| Education | Undergraduate: B.S. Biology, Southwest Texas State University, San Marcos, Texas Medical School: M.D., University of North Texas Health Science Center |
| Post-medical school training | Internship: John Peter Smith Hospital in Fort Worth Residency: Texas Tech University Health Sciences Center |
| Aesthetic medicine experience | 10 years (post-medical training) |
| Professional memberships | American Academy of Dermatology (AAD) American Society of Dermatologic Surgery (ASDS) |
| Medical or professional license | TX |
| Requesting an appointment with Peter Malouf, DO using RealSelf.com is free & confidential. Consultation fee: free | |
| Location | Center For Skin and Cosmetic Dermatology 2801 S. Hulen Suite 400 Fort Worth, TX View map 2618 E. Bankhead Hwy, Weatherford, TX 76087 6117 Berkshire Lane Dallas, TX 75225 |