It's not uncommon for some individuals to experience changes in skin pigmentation following microneedling, especially if you have fair skin and rosacea. Here are some options and considerations to help recover your natural skin color: Consult with Your Dermatologist: It's important to discuss these changes with your dermatologist. They can assess your skin and provide personalized advice or adjust your treatment plan. Sun Protection: Ensure you are using a broad-spectrum sunscreen daily, as microneedling can make your skin more sensitive to the sun, potentially leading to hyperpigmentation. Topical Treatments: Your dermatologist might recommend topical treatments such as vitamin C serums, niacinamide, or azelaic acid, which can help with pigmentation and are generally safe for rosacea-prone skin. Hydroquinone or Other Lightening Agents: In some cases, lightening agents may be prescribed to help reduce pigmentation, but these should be used under professional supervision, especially if you have rosacea. Avoid Irritants: Ensure your skincare routine is gentle and free from potential irritants that could exacerbate rosacea or pigmentation issues. Laser or Light-based Therapies: Procedures like IPL (Intense Pulsed Light) or other laser treatments might be considered to address pigmentation, but these should be carefully evaluated by your dermatologist, especially considering your rosacea. Time and Patience: Sometimes, pigmentation changes can be temporary and may improve over time as your skin heals. Always follow your dermatologist’s advice tailored to your specific skin type and condition.