Help, I have hyper and hypopigmentation on my face. Is this plan right for me? (photo)

This needs a combination approach of lasers and microneedling. It should be tailored by an expert.  Please get a formal consultation.  Best, Dr. Emer.

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. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. 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

Thank you for your question! You did not mention your diagnosis but it looks like you are developing melasma. It is tricky to treat melasma since there is no cute for it, just treatments that improve look of your skin. Some lasers trigger even worse outcome. Chemical peels are safe treatment for the beginning while I would suggest you do be careful with laser treatment. It is important that treatments are spaced out enough. Obagi nuderm system is good home care regimen. Best of luck!