Discoloration from Erbium Laser Resurfacing

I am a 26 year-old-girl of Asian origin. I went to a doctor for chemical peels to treat my acne. I started seeing significant difference and wasn't getting as much acne as before. The doctor then recommended laser resurfacing for the acne scars, so I had Erbium Laser Resurfacing done around November last year.

My skin peeled heavily. I was applying a lot of sun screen during the day. My face looked smoother in 4 weeks, but I started to notice some slight discoloration on both my cheeks, on my nose, and some bit on my forehead. Some are brown patches while others are pink. I am trying to cover it with makeup but it does look awfully bad without any makeup.

My doctor told me to apply Retin A and Hydroquinone every night. I have been doing this for over 2 weeks now. The patches look a little lighter but not so light that I can walk around without makeup. I am definitely not happy with the results of laser resurfacing. What can be done to make these discolorations fade? Any help or suggestions would be greatly appreciated.

1 answer to “Discoloration from Erbium Laser...”

A: Post inflammatory hyperpigmentation after laser resurfacing

William Ting, MD

The risk of delayed postinflammatory hyperpigmentation is nontrivial for ethnic skin, e.g. Latino, Asian skin. Ideally, there should have been pre-treatment with topical retinoid and/or hydroquinone prior to laser resurfacing for ethnic patients. The good news is with appropriate medical treatment by a... more

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