My mom travelled greatly in the heat & never shyed away from sun exposure still her skin was flawless. 3 to 3.5 yrs ago she started swimming & felt her skin started to pigment. so she got a chemical peel done. instead, it started to cause hyperpigmentation. since then she's been getting monthly laser treatments & using Obagi creams. it disappears temporarily but resurfaces after the slightest exposure to sun. can she go in the sun w/o this happening? Cant the h.pigmentation be cured permanently?
What is a Permanent Solution to Hyperpigmentation from Chemical Peel?
Doctor Answers (3)
Recommendations to help prevent hyperpigmentation after a chemical peel
You are developing a post inflammatory hyperpigmentation. Treatment for this type of problem includes the use of hydroquinone 4 to 8 %, Kojic acid, Retin-A, Topical steroid creams. You can expect it to take up to 10 weeks for the pigmentation to clear.
Also available from a compounding pharmacy is Klingman's formula which is a mixture of all of the above chemicals.
Recommendations for chemical peel after-care
This is a very tough problem for some people. Unfortunately, she will have to stay on top of it by being extra careful with sun exposure. She has what we call PIH (post-inflammatory hyperpigmentation). She should not continue with the laser treatments, as these may be encouraging inflammation. Bleaching creams and rigorous use of sun block are her best options.
Chemical peels and pigmentation
Once pigmentation has occurred, any sun exposure will cause additional darkening. There is no permanent cure but it can be lightened. Your mom's skin should be totally protected from the sun and treated lightly with chemical peels or lasers such as the Fraxel Re:store to prevent irritation which can cause more darkening. Fading creams and sun protection are best during the sunny months. Save the peels or laser treatments for non-sunny weather. She should be assessed by a board certified dermatologist. You should also protect your skin from the sun to prevent pigmentation in the future.
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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.
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