Hyperpigmentation and Redness from Laser Skin Resurfacing

Thank you for the excellent question. Changes of pigmentation following laser resurfacing is a rare complication, but can certainly be very disturbing to the patient. Fortunately, the changes of skin color usually return to normal without any treatment. There is no "best" or "quick" method. If anything, time is often the best medicine. However, Topical Hydroquinone, Retin A and Steroids can be used, but caution must be taken with these products. Occasionally, they can worsen the irregular pigmentation. I hope you find this helpful. Good luck.

Vbeam laser is an excellent modality for patients who have rosacea, blushing of the skin, facial and body telangiectasia, spider veins, redness, post surgical redness, and skin flushing. It is a safe procedure that can be used at varying depths to help treat micro blood vessels in the skin. We also use it in our office for facial skin inflammation, keloids, and hypertrophic scarring. It is an important part of scar therapy. Vbeam can be combined with chemical peels and other lasers, but experience with the treatment is essential. The Vbeam laser does not affect deeper tissue. Schedule a consultation with an expert in Vbeam and you will find it to be an excellent modality for many skin types.

Best,
Dr. Karamanoukian
Realself100 Surgeon

There are no “knockout” quick fixes for Hyperpigmentation. The cause can be complex, and only moderation of the pigment, and preventing it from getting worse is all that can be done in some cases. Removal is a lofty goal, so it is important to be realistic. An ethnic skin specialist is where you should direct your questions for a laser and cream option. Some peels may be of benefit.

No need to worry. Experiencing redness and hyperpigmentation is normal after having a laser skin resurfacing procedure. In order to help the hyperpigmentation lessen, you can try using topical creams or hydroquinone; but these types of effects usually go away on its own.

If your treatment is less than a month ago, then I would just wait for it to resolve. Sometimes resolution can be hastend by adding a topical retin a preparation once daily. Also, hydroquinone can help with transient hyperpigmentation and in conjunction with a low dose steroid can help it to resolve quicker. I would not start either of those regimens unless I was at least three weeks out from the resurfacing procedure.