Best Laser for Hyperpigmented Acne Scars?

I am 48 years old and have brown spots on my face because of acne (from when I was younger and from random pimples I get once in a while). When exposed to the sun, the spots become much darker. I put sunscreen, but nothing works. I am ready to do laser treatment to remove the brown spots, but do not know which laser treatment is the best for my case. I also have very dark skin naturally. Please help!

Doctor Answers 2

Q switched Nd YAG laser works well for post acne pigmentation

Answering this question without a picture is a bit difficult, but a Q switched Nd YAG laser works pretty well  for post acne pigmentation. Proper sunscreen use is a must.


India Dermatologist
4.9 out of 5 stars 16 reviews

Q switched Nd YAG laser works well for post acne pigmentation

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Answering this question without a picture is a bit difficult, but a Q switched Nd YAG laser works pretty well  for post acne pigmentation. Proper sunscreen use is a must.

Laser for hyperpigmented acne scars.

Given your skin tone and the relative resistance of post-inflammatory pigmentation to laser therapy, I would suggest one or more of the following: topical application of tretinoin cream (retin-a), a "bleaching" agent such as hydroquinone, a mild topical cortisone cream (2 weeks only) and maybe a series of light chemical peels such as Jessner or salicylic acid.

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Laser for hyperpigmented acne scars.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Given your skin tone and the relative resistance of post-inflammatory pigmentation to laser therapy, I would suggest one or more of the following: topical application of tretinoin cream (retin-a), a "bleaching" agent such as hydroquinone, a mild topical cortisone cream (2 weeks only) and maybe a series of light chemical peels such as Jessner or salicylic acid.

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist

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.