Dark spots recurring after IPL treatment

I just had my third IPL treatment done and after the first week my skin looked really nice and free of the dark spots... finally.

On the third week some of the dark spot started to reappear. My doctor prescribe hydroquinone to treat them. I'm on my fourth week after the last treatment. Should I go for another treatment or should I just wait and see if the hydroquinone would help fade the spots?

At this point I just don't want to damage my skin or make it worse. Also is this pigmentation normal? I've been away from the sun all of this time. Would there be any other factor that may be causing this problem? Or is this normal on this Laser treatment? Thanks a lot for your help.

3 answers to “Dark spots recurring after IPL treatment”

A: Dark Spots returning after IPL treatments

Arnold R. Oppenheim, MD

IPL does a wonderful job at removing sun damage and reddness to the surface of the skin.  If it is superficial it does a great job, if its deep or possibly a case of melasma it helps but usually doesn't wipe it completely.   It will lighten up the pigment in the areas but you may notice after... more

A: Recurrent "Dark spots" after IPL

Theodore Katz, MD

Now that you are on the hydroquinone you could procede with another session or two of IPL.  There are varying results of the treatment of melasma with the Fraxel re:store and I have had some good results, some mediocre, but none worse.  If it is not melasma, and just sun damage I have seen good to... more

A: Depends on what the dark spots are

Don Mehrabi, MD

Thanks for your question. The answer to your question hinges on whether the dark spots represent melasma (not amenable to any kind of laser treatment to-date) or lentigos / sun damage (very amenable to laser treatment). Both of these hyperpigmentation conditions will worsen with sun exposure, and while melasma... more

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