I had sun damage (brown spots) on my neck and forearms treated 2 years ago with IPL (4 treatments). My arms responded great, but my neck only lightened a little bit. Any other treatments recommended? Would a TCA peel or Fraxel be worth trying to improve the discoloration on my neck? Any suggestions would be appreciated.
Hi Jenny-- Its hard to say without seeing your neck, but you may have Poikiloderma of Civatte, which is basically caused by repeated sun exposure . This responds well to a series of Fraxel restore treatments, or to one Fraxel repair. I often combine the use of the Vbeam Perfecta and or the Alex Trivantage laser with the Fraxel laser to get the best results when treating this condition. The Vbeam is particularly helpful if there is a vascular component. Take care, Dr. Groff
Treatment of sundamaged and photoaged neck skin is always a challenge. My preferred approach is with a series of light to medium strength chemical peels coupled with topical treatments. The neck skin is not the same as facial skin and needs to be treated with care. Scarring and other problems are more common in the neck, so conservatism is best in this area. We have had good success using this combined treatment program.
Best,
Dr. Karam
Contact the doctor
