Are Repeated Microdermabrasion Sessions an Effective Method of Removing PIH Caused by Acne?

I am 22 years old with olive-brown skin color (Hispanic). Is repeated microdermabrasion sessions with hydroquinone(2 week intervals) an effective way to remove post inflammatory hyperpigmentation caused by acne? Or should I pursue other options such as the Fraxel Restore laser?

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age 18-24 acne PIH hispanic male comparison hydroquinone

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3 Doctor Answers | Asked by James in CA in San Jose, CA

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Microdermabrasion for Post Inflammatory Hyperpigmentation

I believe the best treatment for post inflammatory hyperpigmentation is using microdermabrasion combined with both prescription strength hydroquinone (4%) as well as prescription-only tretinoin cream. These two creams can either be used separately or as part of the Obagi NuDerm system for greater penetration. Laser treatments can be risky as they may cause inflammation that leads to more hyperpigmentation, especially in someone like you with olive-brown skin color. A chemical peel... more

Acne pigmentation fraxel laser hydroquinone peels and microdermabrasion

Melasma and postinflammatory hyperpigmentation are conditions that can resist all treatments and can even worsen as a result of some of the treatments designed to make it better. Hydroquinones can help lighten the dark skin by blocking the pathway in the cells that make the pigment. To expedite this slow process, some doctors exfoliate by doing microdermabrasion, chemical peels and even Fraxel Dual laser. Before a treatment plan is decided, it is helpful to exam the darker skin... more

Acne pigmentation

My first-line approach to PIH, specially in olive complexions is creams: combination retinoic acid & 4% Hydrroquinone ; together with relgious use of sunscreens. Procedural intervention is resorted to, only after several weeks. Either microdermabrasion or fractional laser can be used . One has to be very conservative with the settings used, to avoid worsening of the pigmentation.