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Dark Pigment on Smile Crease and Depressed Lines! african american. Are These Good Options For My Issues? (photo)

I'm 27, african american. 2 years ago I used a product on my face that ended up irritating and burning it, now Im stuck with slightly depressed lines in the creases of my smile (makeup sinks in, looks terrible) AND its discoloured! I look not great at all. Huge pores, lacking moisture, lines and discolouration (I smoke). Im considering Juvederm for lines and Photofacial for the discolouration. Is this a good idea? Do IPL/Photofacials work on my skin type? I tried bleach & black licorice soap.

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3 Doctor Answers | Asked by Ajax1886

Doctor Answers (3)
Community Comments (2)

I would recommend topical Rx and maybe fillers in future

IPL is very hard to do on darker skin, especially when you are trying to target specific, even darker, pigment. If you are going to do this, I would do it an extremely well trained physician's office who has extensive experience treating darker skin tones. However, before I even went down that road, I would recommend an Rx of hydroquinone (8-12%) to see how much of the discoloration could be removed from this. A cosmetic dermatologist should be able to get you a prescription for this... more

Photofacial for hyperpigmentation

Photofacial is the absolute wrong choice, and if a physician recommended that to you, you must go elsewhere. You likely have postinflammatory hyperpigmentation which should be treated topically with prescription strength creams ( I prefer compounded 8 percent or higher hydroquinone). If there is any ongoing irritation, that needs to be treated as well. That can be easily missed in darker skin becasuse the pigment may mask underlying redness. Other topicals can... more

Photofacials are not good on pigmented skin.

This is physics. Photofacial work when there is a significant color difference betwee the skin being treated and the thing you are trying to treat. With increasingly dark skin, so much light is absorbed that it can blister the skin (a bad thing). This damages the skin. To avoid this, energy has to be reduced so much than no work is done with the treatment. So no, photofacials not a good option. Fillers are probably a much better way to go. more

Kenneth D. Steinsapir, MD

9 reviews

Los Angeles Oculoplastic Surgeon

Comments (2)

Milan London
1 month ago

I got also this problem. even I dont know, by what word I could search in google so i can get relevant information.

billoreilly13
3 months ago

If anybody knows of any treatment that actually works for this please help me!

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