Fraxel dual or Q-switched Nd:YAG for unresolved PIH?
Doctor Answers 2
Start Safe - Q-Switched Nd:YAG 1064 low fluence.
In answer to your question, I would suggest that you start with the safest of the options, namely low fluence QS Yag 1064nm. This will take a number of visits but has been extensively used around the world and appears to be very safe. It may require 5-10 sessions before you see any improvement and is used in conjunction with your fading creams.
Pigmentation and Fraxel
Fraxel generally works very well on pigmentation from the sun. A photo would be helpful to evaluate your skin type and coloring. Post-inflammatory hyperpigmentation may not respond well to the Fraxel with your skin type. I would recommend chemical peels or the Q-switched Yag for this area. For the best results please consult a board certified dermatologist with experince with these lasers.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.