Will PIH come back on the same areas post-Fraxel treatment?

I have a fair complexion and I tan nicely. I have post-inflammatory hyperpigmentation (PIH) on some areas of my face as a result of Fraxel treatment. It seems to be slowly resolving with the help of 4% Hydroquinone; but I am concerned that it will be a recurring problem every summer regardless of stringent SPF use.

3 answers to “Will PIH come back on the same areas...”

A: PIH unlikely but you will have age spots

D.J. Verret, MD

Though post inflammatory hyperpigmentation is a diagnosis specific to the treatment you had, it is possible that you will have increase pigment when you have sun exposure. Sunscreens will decrease the pigment irregularities you may encounter but remember to use at least an SPF 30 and reapply often for maximal... more

A: Continue to use sunscreen

Ronald Shelton, MD

You have a susceptibility for PIH, so Fraxel might have been one trigger, but other factors, including sun exposure, may cause the pigmentation to be more evident in the future. It is recommended to use sunscreen, regardless of history of PIH, when exposed to the sun. You’ll decrease your risk of skin... more

A: PIH after Fraxel will usually fade over time

Michael A. Persky, MD

Hi JGS, Post Inflammatory Hyperpigmentation (PIH) will usually fade over time. It is important to wear a physical sun block, hats, and avoid over exposure to the sun. If you are like me, you like being outdoors, but need to remember to reapply your sun block frequently especially during the summer. Good luck... more

Comments

mcast
59 posts
16 Apr 2009

Same problem six months post fraxel re:pair am currently on 4% hydroquinone have been using it for two months with little effect. Any ideas about what I should do? Is Obagi worth a shot?

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