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Is PIH Following Fraxel Repair Permanent?
I am being treated with 4% hydroquinone for the past 4 months for post-inflammatory hyperpigmentation (PIH) following Fraxel Repair. The hydroquinone does not seem to be working. Is PIH permanent? If not, will it eventually disappear on its own? Furthermore, if it ever gets resolved, is there a chance that it may come back?
Asked 33 months ago by
mcast in sydney
+3
PIH is a problem that can be permanent but the typical thing to worry about is the opposite
While it is possible that PIH can be permanent, it usually resolves with treatment. I put all my patients on the Obagi system prior to and after treatment. This reduces the chances for PIH dramatically. It is still not too late to try this and it will rev up the results of the Retin A significantly.
Most of the time the problem to watch for is actually post inflammatory hypopigmentation, the opposite of PIH. This can sometimes come after PIH, so it isn't a foregone conclusion that you...
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+3
PIH is usually not permanent
Occasionally, particular in darker skin people, PIH is possible after lasers. Usually it is easily controlled with Triluma. This should only be used for 4-6 weeks. It contains a 4% hydroquinone, Retin A, and a steroid. If having no success, your doctor can prescribe higher doses of hydroquinone. This is done from a compounding pharmacy. I have heard of doses of up to 12% but I don't have experience with that.
Once resolved, with proper sun precautions and skincare, it shouldn't come...
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