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

Question

I have had problems with hyperpigmentation, partially from sun damage, post inflammatory, and from IPL. My regimen for skin care incorporates skinceuticals phlorerin CF, phyto + and spf 50 sunscreen daily. I have seen a mild improvement after 6 months but am interested in microneedling with PRP. Most sites say that it can be used for hyperpigmentation but given my history, would microneedling with PRP still have a risk of hyperpigmentaion?

Raffy Karamanoukian, MD, FACS · Answer

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

Andrew T. Lyos, MD, FACS · Answer

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

Jason Emer, MD · Answer

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.

Kim Nichols, MD · Answer

Thank you for your question. Microneedling is an effective way to treat acne scars, uneven complexion, fine lines and wrinkles, larger pores and more, and it appears from your photo that you may benefit from this treatment. I recommend coupling microneedling with PRP for best results, but you should also consult with your board-certified dermatologist to be sure that this treatment is right for you.

Cain R. Linville, MD, FACS · Answer

Yes Microneedling is safe with darker skin types even with a history of hyperpigmentation.  PRP is completely safe and fine also.  This is why I love it, especially in Houston!

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

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Answer: Microneedling with PRP for Asian Skin

Answer: Microneedling with PRP for Asian Skin

Answer: Safety of microneedling

Answer: Safety of microneedling

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

Answers (7)

Answer: Microneedling with PRP for Asian Skin

Answer: Microneedling with PRP for Asian Skin

Answer: Safety of microneedling

Answer: Safety of microneedling

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Recommended reading

Everything you need to know about Microneedling

Our mission is to create a world where every investment in modern beauty is Worth It.