I had laser hair removal last week. I noticed dark, black blotches in the inside of my bikini area. Is this a burn/scar?

Question

The area is not hot to touch. It is not something I can feel when I touch it. It does not hurt. This was my fifth session out of a total of eight and the laser beam strength has increased since. I have been seeing results but never had I seen this. I am concerned. Please tell me what this may be. I have oil skin; as is, my bikini area and vaginal area is darker, I’m hyperpigmented. What could this be?!

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist. Hyperpigmentation can be improved with a combination of Cosmelan, lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. See an expert. Best, Dr. Emer

Laura Riehm, MD · Answer

Thank you for your question and posting a picture.  It looks and sounds like you might have Post Inflammatory Hyperpigmentation (PIH).  This obviously related to the LHR.  It looks like they were too aggressive on the settings.  You should speak to their supervising physician to see what they recommend.We have been very successful using the PicoSure laser with the FOCUS and / or Flat Lenses eliminating hyperpigmentation with a series of treatments.  FOCUS lens treatments have the extra benefit of reducing fine lines and wrinkles.  This is one of our go to treatments for patients older than 40 and worried about the signs of aging.  This laser is safe for all skin types.  Start with sunscreen every day!  Once you have treated your hyperpigmentation to your satisfaction, you will probably need a follow treatment every 6 to 12 months depending your level of re-pigmentation.  Best of luck.

I had laser hair removal last week. I noticed dark, black blotches in the inside of my bikini area. Is this a burn/scar?

Answers (2)

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