Fraxel 1927 for PIH and hypopigmentation on darker skin type? (Photos)

Question

I had a Genius rf microneedling procedure done at the end of September by a board certified derm. Scabbing lasted ~10 days and after falling off the skin underneath was splotchy and scars looked more pronounced. I have a darker skin type (Fitzpatrick 4) and do not respond well to hydroquinone. The provider agreed that my skin looks worse after the procedure and recommended fraxel 1927. However, second opinion said that could cause more PIH. Included before and after of same cheek. Thoughts?

Jason Emer, MD · Answer

​Hyperpigmentation of any kind needs a combination approach of peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly,; lasers like Clear + Brilliant, Aerolase or Laser Genesis; radiofrequency like Venus Viva; and constant skin care and sun protection. Bimonthly facials with SilkPeel DermalInfusion are essential to hydrate, exfoliate and infuse vitamins and antioxidants into the skin. If you have acne you can do additional treatments and peels to get more improvement. Hypopigmentation will need more of an evaluation and possibly additional lasers to get improvement. I suggest a formal consultation with an expert in lasers and peels. Best, Dr. Emer.​

Fraxel 1927 for PIH and hypopigmentation on darker skin type? (Photos)

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Fraxel 1927 for PIH and hypopigmentation on darker skin type? (Photos)

Answers (1)

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Everything you need to know about Fraxel Laser

Our mission is to create a world where every investment in modern beauty is Worth It.