How Can I Reduce Facial Brown Spots?

I have a problem. My patient had a several milia on her face. I tried to peel it by 15% salysilic acid. 2 weeks after she came again with several brown spots on the area which I've peeled before. then I peel it again with 15% salysilic acid. but two weeks after, she came again with bigger spots on her face. How can I reduce her spots? I've tried lactic 45% + hq 2% peeling and kligman formula for home care. I'm afraid that her spots can't recover. Is there any other alternative treatment except laser or IPL?

Asked 36 months ago by jonah in indonesia
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Post-peel regimen can address pigmentation

Facial skin pigmentation can result from a number of factors, including: Hormones Inflammation Sun Exposure Genetics In this case, pigmentation has been exacerbated by a chemical peel and perhaps, hormonal, solar, and inflammatory stresses occuring after the peel. The post-peel protocol is absolutely essential after a chemical peel. In this case, the most productive protocol for skin pigmentation should begin with a tretinoin and hydroquinone-based pre-treatment and a medium depth peel to... more
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
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