laser removal is is always recomended for better and faster results, but complications needs to be considered , from type IV i personally recomend IPL, , because the simply irritations after a treatment could develop an Post inflamatory hiperpigmentation.
But in IPL is extremely important TO MAKE A PATCH TEST, and i dont recomend increase the level of energy after several treatments, just use always the same level, it will be slower and take longer to see results, but it will be SAFE.
With a good technitian dermatologyst and a good IPL machine you can get safer and fast laser equivalent results. (for example syneron technology e-light)
Regards
the only thing that could help now to diminish the hipopigmentation is a 50% AHA peeling, the inconvenient is that you will have a downtime about 2 weeks for each treatment, and looking your skin (lighter than IV types) you won't have problems of Hiperpigmentation with peelings. One treatment for month and i 6 months you will have successfully removed hipopigmentation. (avoiding sun is extremely imperative). I recomend a glicolic acid with Citric acid (prevents hiperpigmentation),so recovery will be faster.(no more than 45-50%) Source: Experience, i had laser burns in legs, and i solved this issue in about a year of treatment. By the way, if you consider to do this, you can forget to have a sun tan (in face) in about 2 years, to prevent hiperpigmentation and extremely dry skin. By peelings you force to rapidly heal the skin, and you need to give all the necessary nutrients, so you will need to take vitamin E, and i recomend a vaseline product with copper peptides for fast regeneration after peelings (ask to dermatologyst) Regards. I hope this help , I really understand your pain.
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the only thing that could help now to diminish the hipopigmentation is a 50% AHA peeling, the inconvenient is that you will have a downtime about 2 weeks for each treatment, and looking your skin (lighter than IV types) you won't have problems of Hiperpigmentation with peelings. One treatment for month and i 6 months you will have successfully removed hipopigmentation. (avoiding sun is extremely imperative). I recomend a glicolic acid with Citric acid (prevents hiperpigmentation),so recovery will be faster.(no more than 45-50%) Source: Experience, i had laser burns in legs, and i solved this issue in about a year of treatment. By the way, if you consider to do this, you can forget to have a sun tan (in face) in about 2 years, to prevent hiperpigmentation and extremely dry skin. By peelings you force to rapidly heal the skin, and you need to give all the necessary nutrients, so you will need to take vitamin E, and i recomend a vaseline product with copper peptides for fast regeneration after peelings (ask to dermatologyst) Regards. I hope this help , I really understand your pain.