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IPL Laser Hypopigmentation

I had IPL 1 week ago on my chest for hyperpigmentation. Should I be worried now about post treatment hypopigmention? Directly after the treatment I had erythema and blisters. I was told to ice and treat the area like a burn. I week later the area treated still has railroad track like lesions.

Doctor Answers 8

Use ointments on IPL burns and give them time

Thanks for your question.

It appears like you obviously had an IPL burn due to high settings. While you are healing with crusting, make sure to put plenty of ointment on these areas and DO NOT pick off the scabs. The ointment (Vaseline, Neosporin, etc) will help you heal quickly, and the scabs will provide a natural wound dressing. Leaving the scabs on as long as possible will minimize scarring.

You will be left with a little discoloration for a while, either hyperpigmenation, hypopigmentation, or both. For hypopigmenation, there is really nothing you can do except to take good care of the healing as described above. Time will be the only thing to make these areas better. For the hyperpigmentation, if you get some, you can do a bleaching cream and with time, these areas will minimize.

Right now is the best time for your to minimize the bad effects. Take care of the healing and hopefully, with time, your side effects will appear minimal.

Beverly Hills Dermatologist
5.0 out of 5 stars 1 review

IPL Laser Hypopigmentation


This is a very unfortunate and avoidable complication.  At this point, I would almost guarantee long term visibility of the rectangular areas.  You should seek the help of an experienced dermatologist in improving this unfortunate outcome.


Peter Malouf, DO
Dallas Dermatologist
4.5 out of 5 stars 83 reviews

Hypopigmentation after IPL

Based on the picture you submitted, it looks like you have done a good job making sure that this injury heals well. Keep the area moist with neosporin and make sure to STAY OUT OF THE SUN. Do not pick or peel the scabs off, allow the skin to flake off naturally.

The area is pink underneath and will remain that way for a while while you heal. Based on the healing response so far, it does not appear that you will be hypopigmented from this trauma, but only time will tell for sure. Even if the area appears to be healed some time from now, try to stay out of the sun completely for at least 6 months. You should also check in periodically with your treating physician to monitor your progress.

Next time may we suggest Pulsed Dye Laser treatments for chest redness and q-switched Nd:Yg lasers for the brown pigment. The problem with IPL treatments for your condition is that the type of light energy used is not specific to either red or brown but is generic. That is why the incidence of side effects like this is higher with IPL treatments than with lasers.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Pigment Changes Post IPL

You will likely have pigment changes due to the burns from the IPL treatment. The best way to minimize the damage is to apply aquaphor to the scabbed areas until they are completely healed and definitely avoid sun exposure on these areas while they are healing. Hypopigmentation may improve over a long period of time, but it can be permanent as well. Hyperpigmentation can also improve over time and with the use of lightening creams and sunblock. Follow up with your clinician to make sure things are healing properly and definitely make sure settings are more conservative if you are doing future treatments. Always make sure to let your clinician know of any changes in your health or medications prior to any treatment and if you have had recent sun exposure. This can help guide the treatment setting selection to reduce your chances of adverse reactions.

IPL burn

Thank you for your question.Unfortunately you had a very poor outcome that was avoidable.Don’t pick your scabs and treat this like a burn.You need to find an experienced professional to correct this.Find someone who does a lot of IPL /BBL and has experience correcting problems like this.I wish you the best, and do your homework finding the right professional to help you take care of this as it will likely be several treatments.

IPL Complications

What you didn’t say was where did you get treated? Was this a medspa? An aesthetician? Was there a doctor in charge? Did you ask to meet the doctor?
IPL is a great treatment, but needs to be used with great caution on the chest. The chest picks up more sunlight browning and you have to be so cautious with any baseline tan color with IPL. Often we tell the patient that this is not the best choice of treatment for you and let’s choose another plan of treatment. The reason is because we don’t want to put patients in the place you are in now, which is how to treat these unwanted complications, such as the burns you have. A better choice in the beginning for you might have been Fraxel, and still might be considered once these have healed.

Douglas J. Key, MD
Portland Dermatologic Surgeon
4.5 out of 5 stars 12 reviews

Allow the skin to heal

I am very sorry to hear that you had this result from an IPL. Unfortunately the skin on the chest tends to be thin, sensitive and darker in pigmentation requiring conservative settings.


Allow your skin to heal for at least 2-3 months with an occlusive ointment, no picking and diligent SPF use. Once the skin has settled with less "pink" it can be distinguished as hypopigmentation/hyperpigmentation. Hypopigmentation will not resolve completely. The area can soften over time but this can take months. The practitioner can use more conservative settings and go the other other way to minimize the demarcations. Pre-treatment with hydroquinone can be done to lighten the skin prior to these sessions and minimize adverse reactions.




David W. Kim, MD
Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 29 reviews

The settings need to be turned down...

If you did not blister, and are not dark in skin color, the Hypopigmentation should be transient. It is easy to remove pigment from the chest, so lower settings are a good place to start. With the second treatment, the Hypopigmented lines will fade as more pigment is removed. If blisters or prolonged redness were present, the settings need to be turned down a bit.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.