Which chemical peel is the best for hyperpigmentation and skin lightening?

Question

I have got a permanent tan on my face and my body is much whiter then my face. I want to even out my skin tone, also have hyperpigmentation on the common areas of the face.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Rosy Sandhu, MD · Answer

Chemical Peels are a great way to evening out skin tone, lightening hyper-pigmentation and reducing pore size. A great one with these effects is the VI Peel with a double booster. This peel will have your skin peeling for about 7-10 days, exfoliating the dead skin cells and some of the hyper-pigmentation. With each peel your skin will lighten up to 20%. In addition to the peel we recommend using a bleaching and blending cream at home to aid in the process of removing the hyper pigmentation. Our favorite is ZO Melamin and ZO Melamix that have a 4% HQ in them. Whenever you bleach you need to blend the skin as well! After bleaching and blending you will want to finish with a Retin-A Cream to continue exfoliating at home, we love ZO Retamax! Consult an experienced Physician or Aesthetician when going to get your chemical peel! Good Luck! Best, Dr. Rosy Sandhu.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Compared to other skin resurfacing techniques, the chemical peel specifically targets irregular pigmentation. It can smooth out your coloring and can vary in strength to be adjusted depending on your specific needs. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,

Jason Emer, MD · Answer

This is tough to answer without pictures. I recommend getting a formal evaluation with a cosmetic dermatologist. Hyperpigmentation requires a combination approach with lasers, microneedling/prp, peels, skin lightening and skin care. Sun protection is essential. See an expert. Best, Dr. Emer

Michele S. Green, MD · Answer

Peels would work extremely well with this case and definitely help even out the pigmentation.  I would add a bleaching cream such as a hydroquinone based product and Retin-A to this regimen.  Please consult an expert in chemical peels.  Best, Dr. Green

Sheryl D. Clark, MD, FAAD · Answer

Dear fatima418523:  There are many peels that can improve hyperpigmentation on the face. In my office, we do and have used peels with salicylic acid, glycolic acid, tretinoin, and many other agents.  In my experience, the most effective is the ViPeel with booster. Using the kit afterwards improves results.  You will likely need to wear a sunscreen daily or an antioxidant to prevent the pigmentation from returning.  All the best,   Dr. Clark

Jeanine B. Downie, MD · Answer

Hi Fatima,
Unfortunately, this is very difficult to assess without pictures.  Evening out your skin tone, I would recommend chemical peels, microneedling, Fraxel laser and a lot of sunblock.  You should consult a board certified dermatologist for advice and your best personal results.  Good Luck, Dr. Downie