Hyperpigmentation, how long for it to fade. How to use hydroquinones and to avoid sun? Details please. (photo)

Question

26 days post DOT laser resurfacing on my entire face. I am developing hyper pigmentation . I am avoiding sun, using sunblock. Do I get rid of this discoloration? How long do I use hydrocortisone or hydroquinone. How long will it take for brown marks to disappear? Does indirect sunlight affect the skin? How long does the result of laser will last? My skin color is 3, in the scale of 1 to 10, 1 being white. Thank you in advance

Raffy Karamanoukian, MD, FACS · Answer

I would definitely start with a combination of Melarase AM, Melarase PM, and Melapads to reduce the pigmentation after a co2 laser. Best, Dr. KaramanoukianLos Angeles

Jason Emer, MD · Answer

PIH 3-4 weeks after resurfacing is typical.  I recommend getting a formal evaluation with a cosmetic dermatologist to go over appropriate after care. Sun protection is essential. Clear + brilliant, peels, microneedling/prp, skin lightening can give improvement. See an expert. Best, Dr. Emer.

William Marshall Guy, MD · Answer

Hello Heyla19,When it comes to hyperpigmentation after any form of resurfacing this is best managed by a physician near you.  Hopefully your laser treatment was performed by a core aesthetic physician (facial plastic surgeon, plastic surgeon, or dermatologist).  If not, I'd recommend you find one of these to continue your treatment.  The reason is there are various treatments out there that can be done to improve your hyperpigmentation.  This includes skin lighteners like hydroquinone, arbutase, kojiac acid, etc.  It could be the lighting, but your photo looks to show you very pink/red still.  At 26 days that degree of color is worrisome, and also needs to be addressed.  For the redness you have there are topical steroids and oral steroids that may be needed.  I hope this helps and good luck.

Hyperpigmentation, how long for it to fade. How to use hydroquinones and to avoid sun? Details please. (photo)

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Hyperpigmentation, how long for it to fade. How to use hydroquinones and to avoid sun? Details please. (photo)

Answers (3)

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Everything you need to know about CO2 Laser

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