Dark marks worsened over a month after IPL treatment. Can anything be done? (Photo)

Question

I had some faint age spots on my cheek that have worsened after IPL, and it has been a considerable length of time since I had the treatment (over a month). This treatment did not really remove any of my freckles either (as it was claimed to do). I have worn sunscreen whenever I have been outside. Is there any chance that these spots will fade? I've tried using a retinoid cream and it hasn't made any difference. I'm really depressed because they are so dark that I can't even cover them with makeup.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question and for sharing your
photograph Hoax. I understand your concern. An IPL photofacial is an
outstanding treatment for facial rejuvenation. It works by using bright light
to target and destroy pigment and redness in the skin.It is difficult to make an assessment without a
formal exam in the office where I can directly view the skin. However, I hope
the information provided here is useful.For discolorations I recommend that my patients have a series of six monthly IPL treatments combined with skin care products including hydroquinone, kojic acid, retinoic acid, salicylic acid, vitamin C, vitamin E, hyaluronic acid, and sunscreen. Post-inflammatory hyperpigmentation can be treated with such products as well.Please consult with a doctor for specific
recommendations. Good luck!

Laura Riehm, MD · Answer

Thanks for your question and posting a picture.  I don't see any areas of terrible concern in your picture.  We recommend a series of 3 IPL treatments to correct sun damage, usually space about 1 month a part.  The pigment will usually look worse before it gets better as part of the healing process.  You will probably notice the pigment get darker as it gets closer to the surface.  Some will be absorbed by your immune system.  Some will actually come to the surface and flake off.  In your case, based on your description, I would say you are just due for another treatment.  Best of luck.

Rebecca Gelber, MD · Answer

It sounds like your skin was responding well, but maybe the product was the issue. Double check what your aesthetician has you putting on - it is very unlikely melanin, but more likely something to keep down melanin production after the laser, which can be very important on darker, and particularly Asian skin for best results around the time of the laser. If it has tretinoin (RetinA), that, or other ingredients in the cream may be causing a reaction. Be sure to contact your treating physician's office with your concern so they can stop or change the cream.

Dark marks worsened over a month after IPL treatment. Can anything be done? (Photo)

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Dark marks worsened over a month after IPL treatment. Can anything be done? (Photo)

Answers (3)

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Everything you need to know about IPL

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