What should I know about hypopigmentation before a CO2 laser correction for acne scarring?

My dermatologist/surgeon wants to use CO2 laser for acne scarring. The scarring is not too extensive or extremely severe, but needs to be improved. I'm concerned mostly about hypopigmentation. I am a white male, 37, with fair to somewhat darker skin tone. I think my dermatologist called it a 2 out of 5? What should I know about the possible permanent change in skin color?

What should I know about hypopigmentation before a CO2 laser correction for acne scarring?
1 answer to “What should I know about...”

A: Hypopigmentation has a low risk

Sirish Maddali, MD

Hypopigmentation after CO2 laser skin resurfacing has a low risk. This is especially true if done in a fractionated manner and not one laser treatment under general anesthesia. The chances of getting hypopigmentation are low, but not zero. You should always take the risks into consideration before undergoing... more

Comments

drbanda
95 posts
9 Jan 2009

In your skin type, hypopigmentation is a known complication of CO2 resurfacing lasers. You cannot really tell who is likely to get this complication ahead of time. One can reduce the likelihood of this happening by manipulating the settings on the laser. I assume you're getting a fractional laser treatment. That alone does reduce the incidence of hypopigmentation when compared to a full resurfacing laser. Relatively small surface area 'treated' (can range from as low as 5% to as high as 60%) also helps. In good hands, hypopigmentation is now a less common complication.

Bama Hayseed
17 posts
18 Jun 2009

Hi Jim5, I'm not a doctor, just a reader. I did a closeup of your photo, and perhaps I was missing something, but I think you have beautiful skin. Maybe you should ask a friend or loved one about what they think about your skin before doing a procedure. (Wanna trade?)

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