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Fraxel Repair or Total FX PIH Risk on Skin Type 4?
asked 2 years ago by sanjoseskin in los angeles
Latest answer by Michael A. Persky, MD
Question viewed 501 times
Tags: acne scars, co2 laser, PIH, risk, skin, skin type IV
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!
1 answer to Fraxel Repair or Total FX PIH Risk on Skin Type 4?
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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...
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