Just got a photofacial done yesterday, to try & help 2 brown spots I have on either side of my nose. Dr. said he thinks its melasma & that 6-8 treatments will help clear it up. This morning when I woke up I had brown marks all around my upper/ lower mouth. Looks like dirt/ mustache, its awful, & make- up did not cover it up. Never had any problems in this area before- will this go away? ? Should I go back for another treatment, scared its going to make it worst/ darker??
Little Brown Dots All Around Mouth After Photofacial
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Doctor Answers 3
For melasma, we generally recommend hydroquinone 4% cream with tretinoin 0.05% cream. Photofacial treatment will generally help to improve sun damaged skin, however with melasma it is usually not recommended.
For melasma, we pretreat all patients with HQ 4%, Kojic Acid 2%, and Retin-A for 4-6 weeks prior to treatments. We use light therapy as a last resort and use chemical peels first to minimize what you describe, PIH or post inflammatory hyperpigmentation. I would not get more light therapy until you speak with a Board Certified Dermatologist or Board Certified Plastic Surgeon.
You are likely having a typical good response to IPL for brown shallow discolorations like lentigos/photodamage. Typically, these turn brown-gray after treatment and look more like pepper granules as they "wear off" the skin over the next week. Since you are only 1 day out, I would not get too excited about this being post-inflammatory hyperpigmentation, which can occur after IPL treatment. It is possible, but you likely have had a good reaction. Good luck!
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