Will fraxel laser or microneedling improve hypopigmentation caused by multiple tattoo removal treatments? (photo)

Question

Had approximately 15-20 on treatments on the forearm. There is hyper and hypopigmentation and well as a couple of raised areas that don't seem to blend with the surrounding skin. I've tried many things such as Silicon Scar Sheets, Chemical Peels, and Retin-A. All have helped, but the hypo-pigmentation seems to be the main issue.*Update - photos added on 5/22/17

Harold J. Kaplan, MD · Answer

Hello,These negative side effects may occur with even the Picosure laser as settings, technique, and skill are equally important as technology.  Hypopigmentation and textural changes of the skin usually indicate an overly aggressive treatment approach.  Whereas, hyperpigmentation (red/brown) is more easily corrected with gentle QYAG laser treatments and hydroquinone for brown and Pulsed Dye Laser for persistent red/pink.Being that you are seeing more of an issue with hypopigmentation, we believe that this condition may correct itself if given time and UV protection at all times.  If not improving after six months, we have used of deep fractioned laser with promising benefits for this condition.  The theory is that the laser encourages melanocyte production and/or bringing neighboring melanocytes to the affected area.  We also believe that using heat (lasers) is a better option for this end goal vs. microneedling and PRP.Regardless of your treatment plan, be diligent with sunscreen use.

Jason Emer, MD · Answer

This is difficult to answer without pictures. Hypopigmentation can be improved with lasers and microneedling. I would combine with prp to improve outcomes. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Jessica H. Kim, MD, FAAD · Answer

Yes, hypopigmentation can be improved with fraxel and/or microneedling+prp.  You will likely need a series of treatments to see the desired results.  Consult with board-certified and experienced physician.

Michael S. Mall, MD · Answer

Thank you for the pictures and before answering your question, please see a dermatologist or a physician specializing in lasers to establish the best treatment plan for you.  PRP would be an added benefit which may require six treatments.
Best wishes

Steven F. Weiner, MD · Answer

Both Fraxel and microneedling will improve the scar. Hypopigmentation is a tough one to fix. I also use the Infini for scars. Adding PRP has helped in some cases of hypopigmentation in my practice. Fraxel will be more aggressive and will have better results than microneedling (also more expensive).

Laura Riehm, MD · Answer

Thank you for your question.  It sounds like you didn't take advantage of the most recent picosecond laser tattoo removal technology.  We see the damage caused by nanosecond tattoo removal almost every day.  Hypopigmentation is very difficult to correct.  We are still evaluating the results of PicoSure FOCUS vs. ICON 1540 nm resurfacing of the raised burn scars.  We are hoping that it will also stimulate the pigment as well.  Best of luck.

Will fraxel laser or microneedling improve hypopigmentation caused by multiple tattoo removal treatments? (photo)

Answers (6)

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