Crying - hypopigmentation on forehead after Excel V! Makeup does not cover it! Help! (Photos)

Question

I’m actually sobbing right now because I don’t know what to do. I need professional help. I am Asian and I got Excel V to lighten and get rid of the freckles and sun spots on my face. Within 24 hours, the spots on my face got dark and elevated. They have come off. At day 10, on my forehead, I have these zebra marks where the scabs came off! It is SO pronounced and I have no idea what to do! My doctor gave me a prescription lightening cream to put on my forehead but I don’t want to! I’m scared!

Shanthala Shivananjappa, MD · Answer

Excel V is an excellent laser for vascular lesions, and it can improve the pigmentation to certain extent in an expert hand. Enlighten laser is much better than Excel V for pigmentation. You have not displayed your before photos, it is possible you have melasma and may be what you are seeing is, more of untreated rather than treated area. Make sure you use physical sunblock and speak with your physician about your concern.Best WishesDr. Shanthala

Jason Emer, MD · Answer

For hypopigmentation such as this I would recommend a combination of bleaching cream (AM + PM), Retinol (At night), SPF 30 Daily, wearing a large hat to protect the affected area from the sun for 4-6 weeks. I also suggest the cosmelan depigmentation peel. See an expert. Best, Dr. Emer.

Glenn Messina, MD · Answer

The excel v is an excellent laser for removal of solar lentigines however it seems they wanted to cover a large area of the forehead places between the laser beams was unaffected thus still dark and the treated areas with significantly less pigment. I try to avoid this by doing 2 slow passes one horizontal one vertical to ensure i have conc=vered all of the area. If you desire I would show the doctor and ask about a second treatment and making sure all the areas are treated by going across the region slowly making sure the next beam is just on the edge of the previous. If not I believe in time this will resolve

Crying - hypopigmentation on forehead after Excel V! Makeup does not cover it! Help! (Photos)

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