White hyperpigmentation from C02 laser - is there any topical treatment that could help? (photos)

Question

Hello, I have white hyperpigmentation after having C02. This was probably almost 2 years ago. Is there anything topical I can use to help the pigment return to its normal colour?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Nadir Qazi, DO · Answer

White hyperpigmentation after a CO2 laser treatment is a rare but possible side effect. It occurs when the laser damages the melanocytes (pigment-producing cells) in the skin, resulting in a loss of pigment. While there is no guaranteed topical treatment that will fully restore the pigment to its normal color, there are some options you can explore.
First and foremost, it's important to consult with a dermatologist who can evaluate the extent of the damage and recommend a personalized treatment plan. Depending on the severity of the hyperpigmentation, your physician may recommend a combination of treatments, including topical creams, chemical peels, or other laser treatments.
Topical treatments such as hydroquinone, kojic acid, azelaic acid, and retinoids have been shown to be effective in treating hyperpigmentation. These treatments work by inhibiting melanin production and increasing skin cell turnover, which can help reduce the appearance of hyperpigmentation over time.
It's important to note that these topical treatments can take several months to show results, and may not be effective for severe cases of hyperpigmentation. Additionally, some topical treatments can cause skin irritation or sensitivity, so it's important to use them under the guidance of a dermatologist.
In some cases, a combination of treatments such as microneedling or PRP (platelet-rich plasma) therapy may also be recommended to help stimulate the production of new collagen and elastin in the skin, which can help improve its overall appearance and texture.
In conclusion, there are several options available to treat white hyperpigmentation after a CO2 laser treatment. However, it's important to work with a dermatologist to develop a personalized treatment plan that takes into account your individual skin type and the severity of your hyperpigmentation.

Milan Doshi, MS, MCh · Answer

Thank you, Kristyclubb for your question and photographs.
 Photographic evaluation is incomplete without personal examination to give the most appropriate answer
 However from the photographs, it seems that,
You must visit your healthcare provider from where you received the treatment. Then the healthcare provider can prescribe you topical cream which will help to deal with hyperpigmentation. One such available product is Decapeptide.

Please consult a board-certified dermatologist near you and discuss this in detail.
Wish you an alluring look.

Connie Hiers, MD, FACS · Answer

You could have cosmetic, not artistic, tattooing to replace the lost color. Please do this when you have no tan.  Otherwise, makeup will add color.

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