Hyper Pigmentation Removal with Fraxel and Ipl

asked 11 months ago by Harry78 in Edison, NJ
Latest answer by Ronald Shelton, MD
Question viewed 187 times
Tags: ethnic, hormones, hyperpigmentation, not working

My wife is from Philippines and has got hyper-pigm on her face due to sun exposure (2yrs back) & then she delivered baby, the dark spots became worse. We consulted dermatologist (last 10months), he did: 1) 3 Fraxels 2) 4 IPL’s 3)Tretinoin cream- last 3 months – before every otherday & now everyday. (She was breast feeding before). I don’t see changes,just few light spots,do I need to wait? Is the IPL per month necessary? In sun- light spot become dark (with spf)?

2 answers to Hyper Pigmentation Removal with Fraxel and Ipl

Melasma

Post inflammatory hyperpigmentation or melasma, may be difficult to treat. A combination of topical therapy and possible Fraxel Dual may help, but religious use of sunblock is important. Sometimes light chemical peels, the "Kligman" formula of hydroquinone, Retin A, and steroid cream can help. There are important side effects of the cream so discuss it with your doctor. All lasers and peels have a risk of making the post inflammatory hyperpigmentation worse. If... more

Ronald Shelton, MD
Manhattan Dermatologist

Facial hyperpigmentation/melasma treatment

The hyperpigmentation that gets worse in the sun and after having a baby sounds like melasma. Melasma is sometimes tough to treat especially if it has a dermal component. You mentioned Fraxel, IPL and tretinoin. Has your wife used hydroquinone? Or particularly the triple therapy with hydroquinone, fluocinolone and tretinoin? Does she use a broad-spectrum sunscreen every single day? Melasma can get worse with even a small amount of exposure. I recommend... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

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Hyper Pigmentation Removal with Fraxel and Ipl

Melasma

Facial hyperpigmentation/melasma treatment

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