I got an ipl done almost 4 weeks ago I got the marks from the machine that become darker then coffee ground and exfoliate them but in my forehead seem like they just became extra brown spots because they didn't go away. The aesthetician wants to do a peel but because of my work being outside a lot can't do it right now is there other way to lighten this. It looks worse than before. Thank you
September 7, 2017
Answer: Hyperpigmentation after IPL Do not do a chemical peel. You should make sure that you see the medical director - a doctor from the treating office so that they can know what happened and be involved in management. I know that it's frustrating, but this is called post inflammatory hyperpigmentation and is caused by inflammation. Any intervention which causes more inflammation in the first few months (like peels and more IPL) can make it worse. You should be placed on a cream containing hydroquinone and Retin-A for at least a few months with very, very strict sun avoidance and blocks. Anything left after at least 4-6 months of this can be cleaned up with a very skilled IPL practitioner or lasers.
Helpful 1 person found this helpful
September 7, 2017
Answer: Hyperpigmentation after IPL Do not do a chemical peel. You should make sure that you see the medical director - a doctor from the treating office so that they can know what happened and be involved in management. I know that it's frustrating, but this is called post inflammatory hyperpigmentation and is caused by inflammation. Any intervention which causes more inflammation in the first few months (like peels and more IPL) can make it worse. You should be placed on a cream containing hydroquinone and Retin-A for at least a few months with very, very strict sun avoidance and blocks. Anything left after at least 4-6 months of this can be cleaned up with a very skilled IPL practitioner or lasers.
Helpful 1 person found this helpful
September 7, 2017
Answer: IPL and PIH It appears to be post inflammatory hyperpigmentation. The best is to sunprotect with SPF of at least 30. Use a photoprotector such as Vitamin C serum and at night utilize a retinoic acid (tretinoin, start with 0.05%) and add a hydroquinone (bleaching agent). This will help to lighten. It is important for all patients to not have a tan prior to IPL. Some IPL's also have a melanin index reader where you can check the amount of melanin in the skin and adjust settings accordingly. I would first utilize the topicals prior to doing additional energy based modalities or peels. Best of luck!
Helpful 1 person found this helpful
September 7, 2017
Answer: IPL and PIH It appears to be post inflammatory hyperpigmentation. The best is to sunprotect with SPF of at least 30. Use a photoprotector such as Vitamin C serum and at night utilize a retinoic acid (tretinoin, start with 0.05%) and add a hydroquinone (bleaching agent). This will help to lighten. It is important for all patients to not have a tan prior to IPL. Some IPL's also have a melanin index reader where you can check the amount of melanin in the skin and adjust settings accordingly. I would first utilize the topicals prior to doing additional energy based modalities or peels. Best of luck!
Helpful 1 person found this helpful