I'm 22 and have this birthmark in the middle of my forehead. I was wondering if there is any way to fade it. (Photo)

Question

When I was young the birthmark was much more prominent and red. I was under the impression that it was a salmon patch birthmark but I thought those all disappeared within the first few years of life? It has faded quite a bit with time but seems to have hit a plateau. I wold like to know what my options are to fade it further.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

This can be improved with a combination of lasers (ProYellow, Excel V, VBeam), Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Davin Lim, MBBS, FACD - Account Suspended · Answer

This red birthmark has a good chance of improvement with a series of vascular lasers such as the V Beam Pulse dye laser and Excel V. You will need a series of 2-6 sessions, and success rate is in the order of 60% or more. Treatments spaced 10-12 weeks apart. All the best, Dr Davin Lim. Birthmark Specialist. Brisbane. Australia.

I'm 22 and have this birthmark in the middle of my forehead. I was wondering if there is any way to fade it. (Photo)

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