Fraxel Repair or Total FX PIH Risk on Skin Type 4?

Hello, I'm considering Fraxel Repair or Total FX (Active FX/Deep FX) for acne scarring. I have skin type 4, Middle Eastern skin. Will I get PIH after treatment? Is one laser better at preventing pigment problems over the other? In the past, I've had full face Erbium, chemical peels, and dermasanding with no pigment problems. Is fractionated co2 at deep levels safe on me, or am I for sure going to get post inflammatory hyperpigmentation? What about hypopigmentation? Thank you!

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1 Doctor Answer | Asked by sanjoseskin in los angeles

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Fraxel Repair or Total FX PIH risk on skin type IV

Hi SanJose in LA, Fraxel repair is indicated in patients with Fitzpatrick skin types I to IV. The risk of post-inflammatory hyperpigmentation (PIH) does go up as skin color gets darker, and in Asian skin. We have treated many patients with darker skin types with Fraxel repair for acne scarring. Their skin is pre-treated with Nia-24, and then post treated as well. Many practices treat aggressively with bleaching agents before and after laser. There is no guarantee that you won't develop... more