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Best Minimally-invasive Treatment for Hyperpigmentation Caused by Chemical Peels?

What is the best treatment for hyperpigmentation? I just did a TCA 20% chemical peel about 2 weeks ago and now how really bad hyperpigmentation in the areas where the doctor went deeper. I don't want anything too invasive since I are trying to get pregnant.

Asked 42 months ago by plshelpme in Alhambra, CA
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+5

A good treatment for hyperpigmentation after TCA peels...

A good treatment for hyperpigmentation after TCA peels is the use of hydroquinone. Unfortunately, it is a pregnancy category C, meaning that the safety of the medication during pregnancy has not been established. A safe alternative may be IPL treatments. These are safe during pregnancy but the use must be balanced against the healing skin and possible lack of efficacy. I would suggest speaking with your physician about your concerns before proceeding with any other treatments.... more
D.J. Verret, MD
Dallas Facial Plastic Surgeon
+4

Dispigmentation after TCA peels

Two weeks after a chemical peel is a very short period of time in relation to healing. The first thing I would recommend is patience in terms of the color variation. You should be using a sun block of at least SPF 30 during this time. Most physicians will not intervene for pigment problems until at least 4-6 weeks post-treatment. This rule is based on the natural time frame of wound healing. Wound healing occurs in 3 stages: The immediate phase which lasts about a week The proliferative... more
Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon
+1

Pearl laser is better for sun damage discoloation than peels.

I have found that the Pearl laser is an excellent alternative to chemical peels for sun damaged skin.  It is less painful, requires less of the patient during convalescence, and usually involves only about 4 days social downtime.  It is not for freckles and probably melasma.  It is not good for deep wrinkles.  But when used on the properly selected patient, it seems to give very good results.
Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
+1

Undoing the pigment after peeling

Hello, If the doctor only used 20% TCA (this is really not very strong) much of this should improve with time and sun avoidance/ sun screens (SPF 30 plus). Bleaching creams and/or dilute Retin A may help but I am not sure I would recommend them when you are trying to get pregnant. What does your surgeon say? Are you still seeing him or her? Hyperpigmentation after peeling really requires a doctor's continued examination to change to the things that work well for you. People vary. Best... more
John P. Di Saia, MD
Orange Plastic Surgeon
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