I had light brown spots on the side of eyes and a skin laser spa recommended for a Fraxel treatment to improve the melasma and big pores on my nose/face. The Fraxel left me with even darker sports all around eyes and no improvement on my pores.Would you please advise what else can be done to treat these brown spots after the Fraxel and improve the big pore size? I'm 40 years old Asian. Thank you!
November 2, 2017
Answer: Laser treatments for brown spots It sounds like you have post-inflammatory hyperpigmentation after the Fraxel treatment. Bleaching creams and sunprotection will help fade it out. There are many possible diagnoses for the light brown spots around your eyes that were treated with Fraxel. Without seeing pictures it is impossible to say if these are lentigines (age spots), acquired nevus of Ota, freckles, melanocytic nevi, or seborrheic keratoses. Best laser treatment depends on the diagnosis and the depth of pigment. For example, my favorite treatment for lentigines is Q-Switched Ruby laser. The QS 532nm works well too, however, may result in temporary bruising. Prior to having laser treatment of pigmented lesions, remember to have your dermatologist check your brown spots to make sure they truly are benign.
Helpful 1 person found this helpful
November 2, 2017
Answer: Laser treatments for brown spots It sounds like you have post-inflammatory hyperpigmentation after the Fraxel treatment. Bleaching creams and sunprotection will help fade it out. There are many possible diagnoses for the light brown spots around your eyes that were treated with Fraxel. Without seeing pictures it is impossible to say if these are lentigines (age spots), acquired nevus of Ota, freckles, melanocytic nevi, or seborrheic keratoses. Best laser treatment depends on the diagnosis and the depth of pigment. For example, my favorite treatment for lentigines is Q-Switched Ruby laser. The QS 532nm works well too, however, may result in temporary bruising. Prior to having laser treatment of pigmented lesions, remember to have your dermatologist check your brown spots to make sure they truly are benign.
Helpful 1 person found this helpful
June 9, 2009
Answer: Asian skin is sensitive You need to be very careful about laser treatment performed to your skin. Ethnic skin tends to be more sensitive and prone to hyperpigmentation. Even more minimally invasive lasers like the Fraxel can cause problems. Fortunately, most hyperpigmentation is temporary or can be treated with skin lightening agents like hydroquinone. I usually have my patients on a skin care regimen of hydroquinone and Retin-A before laser therapy to optimize the skin prior to treatment and to reduce the risk of hyperpigmentation. I would wait for your current hyperpigmentation to resolve before considering repeat treatment.
Helpful
June 9, 2009
Answer: Asian skin is sensitive You need to be very careful about laser treatment performed to your skin. Ethnic skin tends to be more sensitive and prone to hyperpigmentation. Even more minimally invasive lasers like the Fraxel can cause problems. Fortunately, most hyperpigmentation is temporary or can be treated with skin lightening agents like hydroquinone. I usually have my patients on a skin care regimen of hydroquinone and Retin-A before laser therapy to optimize the skin prior to treatment and to reduce the risk of hyperpigmentation. I would wait for your current hyperpigmentation to resolve before considering repeat treatment.
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