Microneedling with PRP for Asian skin? Safe for history of hyperpigmentation? (photos)

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

Hello and thank you for your questionMicroneedling with PRp is safe for all skin types including those with a tendency for PIH. This is best combined with pre-treatment with hydroquinone or Lytera.  Best wishes and good luck! Andrew Lhis M.D. FACS

The best treatment is cosmelan and clear + brilliant laser , micro needling and PRP can enhance t he outcome but typically alone is not he best primary treatment. you need skin care and peels for maintenance.  Best, Dr. Emer.