Acute Hyperpigermentation on South Asian Male (32 Years)?

Question

Hi, I am a South Asian male (32 years). I have had acute acne scarring in the past and although the acne is under control, I visited a derma spa in NYC that suggested using a VI Chemical Peel 2 weeks ago. While the peel was being applied, the skin immediately showed hyperpigmentation. When I started peeling two days later, the face was very pink/bruised . 5 days later the skin turned very dark and remains the same way despite taking care. What can I do? The face is now discolored and with scars

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Dina D. Strachan, MD · Answer

Although chemical peels may be helpful in the treatment of hyperpigmentation, success often requires a combination of skin care habits, procedures and sometimes prescription medications. What is your skin care regimine? What was the post peel care? Is there any other problem that requires evaluation? Non-medical staff at spas are not able to do a full assessment. It sounds like you would benefit from an evaluation by a board-certified dermatologist. Good luck!

Acute Hyperpigermentation on South Asian Male (32 Years)?

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