Fair Indian skin tone: Will co2 pih resolve!?

Question

I have really bad unsighty pigmentation followed by co2!They are box like,ugly ,standing out in my fair Indian skin tone!Need fast help!will tca10% and q switch help!?

Raffy Karamanoukian, MD, FACS · Answer

In my practice, I try to stay away from these combination regimens, as cortisones are non-selective inhibitors of melanocytes.  I would recommend my patients to start Melarase AM and Melarase PM for the pigmentation.
I would start with an intense skin rejuvenation protocol for age spots that includes fractional laser, Covalent chemical peels, and daily skin brightening creams to improve your skin’s complexion. Laser therapy, he adds, must be combined with a proper skin regimen to enhance and maintain youthful results.
He recommends the following skincare products for dark age spots: Melarase
MelaClenz Brightening CleanserMelarase AM: Day-time skin lightener with SPF 30Melarase PM: Night-time skin lightenerMelapads: Daily Exfoliating PadsReplenish Retinoid Cream: Exfoliating and skin-stimulating night creamBest, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

This is difficult to answer without pictures. I recommend following up with a cosmetic dermatologist for after care and treatment for PIH. This can be improved with lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. See an expert for a formal evaluation. Best, Dr. Emer

Alex Eshaghian, MD, PhD · Answer

Thank you for your question nivbala.
I am sorry to hear about your situation. Fractional CO2 laser resurfacing is an
outstanding treatment that can address multiple aspects of aging in a single
treatment. For my patients with darker skin types I always recommend a good skin care regimen for one to two months prior to the treatment with products containing hydroquinone, kojic acid, retinoids, salicylic acid, vitamin C, vitamin E, and hyaluronic acid of course with sunscreen. This minimizes the risk for PIH. Also settings on the laser must be adjusted for the skin type. For my patients with PIH after a laser treatment I recommend the same skin care treatment possibly with IPL photofacial treatments. Please consult with a doctor for
specific recommendations. Good luck!

Fair Indian skin tone: Will co2 pih resolve!?

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