Hypopigmented macules from Starwalker laser (Photo)

Question

I had been doing monthly sessions of Starwalker laser for hyperpigmentation and acne for almost a year. 9 months ago I started developing hypopigmentation in the jawline and neck after a session I did after returning from a trip where I was out in intense heat and sunlight. It triggered some hyperpigmentation in my jawline which was clear just the month before the trip. I did a few sessions after but the hypopigmentation got worse. Is this going to be permanent?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

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