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The risk of PIH (post inflammatory hyperpigmentation) is present with any laser - on any skin type. But, pigment problems (hyperpigmentation and hypopigmentation) are more of a risk with darker skin types. I do not recommend CO2 laser for dark skin. Fraxel, which is also a resurfacing laser, is really very safe on all skin types - and I would be more apt to recommend this laser (1550 nm) for rejuvenating skin from sun damage. The Clear and Brilliant is also an option. Intense Pulse Light (IPL) would also be a consideration.
I recommend following up with a cosmetic dermatologist for a formal evaluation and after care recommendations. I recommend skin care with vitamin c, b5 hydrator, silicone based scar gels with growth factors and enzymatic washes with papaya enzyme to give improvement. Sun protection is essential....
Hi there. In my 15 years of laser experience I have always gotten great results with my pulsed dye (VBeam) laser for red scars. In addition to blunting the inflammation, you can get improved results in the actual scar. Low energies are recommended and multiple treatments, but this is the...
Hyperpigmentation can be improved with a combination of Cosmelan, lasers, 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