Hyperpigmentation Post Vbeam Laser? (photo)

So I had an aggressive vbeam laser treatment 6 weeks ago and I am left with brown hyperpigmentation that is very noticeable. Is this permanent or will this go away if I stay out of the sun and use "bleaching creams?" And what do you think the timeline is if it will go away? Thank you.

Doctor Answers 1

Hyperpigmentation after V-beam laser

Hi there,

Did you have alot of laser "bruising" or purpura right after the treatment? Did you have any blistering? It looks like your skin type is a bit on the darker side which makes post inflammatory hyperpigmentation (PIH) more likely, especially with aggressive settings. PIH will always resolve over time. However, it may take up to 6 months (and for some patients up to a year) to fade completely. Applying prescription strength hydroquinone , retin A, and daily sunscreen will help. You may also consider doing a series of skin lightening chemical peels, such as kojic acid peels, to accelerate the resolution. Don't worry...it will go away!


Bellevue Dermatologist
4.8 out of 5 stars 14 reviews

Hyperpigmentation after V-beam laser

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi there,

Did you have alot of laser "bruising" or purpura right after the treatment? Did you have any blistering? It looks like your skin type is a bit on the darker side which makes post inflammatory hyperpigmentation (PIH) more likely, especially with aggressive settings. PIH will always resolve over time. However, it may take up to 6 months (and for some patients up to a year) to fade completely. Applying prescription strength hydroquinone , retin A, and daily sunscreen will help. You may also consider doing a series of skin lightening chemical peels, such as kojic acid peels, to accelerate the resolution. Don't worry...it will go away!


Bellevue Dermatologist

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.