Laser Resurfacing: Q&A
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Will Laser Resurfacing Make PIH Worse from Prior Laser Resurfacing?
I had laser and the lady burned me. It healed and now the area is darker then the rest of my skin. Since laser resurfacing helps hyperpigmentation, will another laser treatment help or make it worse? Before the first laser i was not advised to use bleaching cream, but now i am a month into using it. I had affirm first and im now looking in to fraxel restore dual with a more reputable doctor.
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6 Doctor Answers |
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Amanda89
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Avoid laser treatments for PIH
Please consult a board certified dermatologist to treat your postinflammatory hyperpigmentation. Laser is not recommended. You must avoid the sun. Fading creams and light chemical peels may be appropriate.
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Patience and gentle treatments are key
Post-inflammatory pigmentation is the term given to darkening of the skin after injury or inflammation whether intentional (laser) or unintentional (road rash). It is more common in people with darker skin types. This type of pigment sits deeper in the skin and is more difficult to treat. The most helpful thing you can do at this point is to apply a zinc containing sunscreen (SPF > 30) daily and every 2 hours when outdoors, continue the bleaching cream nightly (I...
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Post inflammatory pigmentation
I treat postinflammatory pigmentation with mild chemical peels or bleaching agents. I have gotten excellent results with this approach. I would be very cautious using a laser for postinflammatory change and recommend that you are evaluated by a board certified dermatologist for specific treatment recommendations regarding your problem
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So this is my third laser in the last 2 yrs. going through the itchy stage as I type this....
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Post laser inflammatory hyperpigmentation
Post laser hyperpigmentation is a common problem following laser resurfacing and is not necessarily related to the "burn" that you experienced. That said, the greater the injury the greater the degree of PIH. Laser resurfacing is just that, in that is smooths out the skin and has the additional benefit of evening out darker skin tones. It is not specifically designed to treat browns, though, but more to smooth out wrinkles. There are different opinions in the industry regarding whether to...
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Laser resurfacing to treat PIH
I would be very wary of using laser resurfacing to treat PIH (post inflammatory hyperpigmentation). I love laser resurfacing and probably do as much or more then anyone in the US. At our office we have a lot of experience treating difficult skin problems and our first line treatment for PIH is always chemicals/skin care. The best thing is to make an appointment at a place that really deals with these issues.
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Laser Treatment after PIH
Treating PIH can be a challenging and slow process. It is difficult to say exactly what I would recommend without seeing your skin. In general, I treat my PIH patients with a few different treatments, Laser Resurfacing being the very last treatment I would recommend. First, I would recommend starting a topical treatment regimen in order to prep your skin. This would include retinols, glycolics, sunscreen, lightening treatment (such as a product with Hydroquinone.), and moisturizer. Please...
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