Melasma and PIH darker after Picofacial (Picosure Focus laser)... is this normal? (Photo)

October 31, 2015
Asked By:Aggi5 in Chevy Chase, MD

I recently had a picofacial (Picosure focus laser treatment) to treat my PIH and melasma. My melasma has darkened by a couple of shades since the treatment. I don't see any reviews noting darkening of pigment after Picosure focus. Is this temporary? Should I continue with the second treatment and wait it out? I am a 30 y/o Caucasian female, no children and not taking BCP.

Answers (6)

From board-certified doctors and trusted medical professionals
VOTED MOST HELPFUL
August 24, 2019

Answer: Melasma

5 people found this helpful
Sheila S. Nazarian, MDBoard Certified Plastic Surgeon
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VOTED MOST HELPFUL
August 24, 2019

Answer: Melasma

5 people found this helpful
Sheila S. Nazarian, MDBoard Certified Plastic Surgeon
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MOST RECENT
March 6, 2018

Answer: Treating PIH

Raffy Karamanoukian, MD, FACSBoard Certified Plastic Surgeon
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MOST RECENT
March 6, 2018

Answer: Treating PIH

Raffy Karamanoukian, MD, FACSBoard Certified Plastic Surgeon
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June 21, 2017

Answer: Temporaty darkening

1 person found this helpful
Brian K. Machida, MD, FACSBoard Certified Facial Plastic Surgeon
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June 21, 2017

Answer: Temporaty darkening

1 person found this helpful
Brian K. Machida, MD, FACSBoard Certified Facial Plastic Surgeon
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November 1, 2015

Answer: Picosure laser and melasma

1 person found this helpful
November 1, 2015

Answer: Picosure laser and melasma

1 person found this helpful
August 24, 2019

Answer: Picosure Focus should reduce, not increase melasma

1 person found this helpful
August 24, 2019

Answer: Picosure Focus should reduce, not increase melasma

1 person found this helpful