Little Brown Dots All Around Mouth After Photofacial

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??

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. 

Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews


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.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

Normal reaction

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!

Michael H. Swann, MD
Springfield Dermatologic Surgeon
5.0 out of 5 stars 12 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.