Will Hyperpigmentation on Asian Skin Go Away?

I would not recommend a Fraxel until you are pre-treated with a skin care regime to inhibit pigmentation for several weeks. This would include a retinoid, hydroquinone, perhaps an antioxidant, and of course, sunscreen. I then reommend that you restart the regime when your docotr tells you to do so. If your doctor has NOT had you pre-treated, I'd question their experience in treating ethnic skin.

 You have pointed out primary the danger of skin resurfacing treatments on individuals with darker complexions.  Namely, that of hyperpigmentation.  This can be permanent so I would take Dr. Shelton's excellent suggestion to heart even if it seems inconvenient to you.

As you know there are rules and exceptions. Typically, post inflammatory hyperpigmentation of the face can be temporary, but last many many months before it improves considerably, and may need a combination of chemical peels or lighter Fraxel energies, AND lightening creams. Many physicians would recommend using a lightening cream for a few weeks prior to the Fraxel for some Asian skin, to decrease the chance of deveoping the hyperpigmentation. A wise plan would be to have a test spot done... more