Can Hyperpigmentation from CO2 laser be cured by another CO2 procedure?

Question

I had a CO2 last October 2024 and I had the worst hyperpigmentation.My face is covered of brown dots that even make up cannot covered it. What will be any advice how to get rid of this not only few spot but my entire face are full of dots melasma.

Nelson Lee Novick, MD · Answer

This kind of post-inflammatory hyperpigmentation (PIH) is a real risk, especially when a C02 laser is used on darker natural skin types. Sorry.
I have had very gratifying results treating hyperpigmentation problems, both melasma and PIH, using a protocol consisting of in-office applications of superficial peels (such as high concentrations glycolic or salicylic acid; Jessner's Solution; or low concentrations of TCA) supplemented by the daily home use of Rx skin lightening topicals. I would suggest extreme caution if considering additional treatment with the CO3 laser. 
You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist. Hope this helps and best of luck.

Viva Eve Dermatology - New York · Answer

Hi - 
This is a great question. Hyperpigmentation can result from improper use of CO2 laser, therefore exercising caution is first and foremost, especially considering your skin type from what I can see from the photos. First, I would go back to the provider who treated you, to alert them of the adverse effect you are experiencing. The provider should incorporate ingredients targeted toward decreasing pigment, with medical grade and prescription topical skincare. Then, a series of chemical peels would likely be advised.

Can Hyperpigmentation from CO2 laser be cured by another CO2 procedure?

Answers (2)

Recommended reading

Everything you need to know about CO2 Laser

Our mission is to create a world where every investment in modern beauty is Worth It.

Can Hyperpigmentation from CO2 laser be cured by another CO2 procedure?

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about CO2 Laser

Our mission is to create a world where every investment in modern beauty is Worth It.