What's the best treatment to get rid of hyperpigmentation after laser hair removal? 1 year post op.

Question

It's been a year since I got laser hair removal on my happy trail, I was burned because I had marks but they went away. i went out into the sun for a little and they appeared again, it's been a year and I still have them and can't get rid of them. It's like 10 little dots and it makes me self conscious.

Jason Emer, MD · Answer

Hyperpigmentation can be improved with a combination of Cosmelan, lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Lani Warren, MD · Answer

Hi, I would recommend using a hydroquinone to be applied to the dark spots morning and night . You willl have to be super cautious throughout the summer months using a good zinc based spf to the areas of concern. I would also go back to the place that you got burnt and explain your situation. They may have products treatments that help. Without seeing you in person it’s hard to say of hydroquinone with Work 100%. But it’s worth a try.

Best wishes to you

Best wishes to you

Jayanthy Ravindran, MS, DNB, MRCS · Answer

Hey there,Options for treating hyperpigmentation post laser would be: 1. prescription strength topical creams -  4% hydroquinone, tretinoin and steroid combo
  
2. One step peels like cosmelan or more aggressive dermamelan peels
  
3. Last option would be a q switch laser.
  
Above all sun protection is mandatory.
Hope this helps.

Sheryl D. Clark, MD, FAAD · Answer

Dear annon9:So sorry to hear of your problem! It is important to seek treatment from a board-certified dermatologist who has both Alexandrite and a longer wavelength such as Nd:Yag or diode, who will be able to evaluate your skin and hair and choose settings that will permanently eliminate hair without burning or postinflammatory hyperpigmentation. Now that you have had this problem for a year or more, you will want to apply a properly formulated retinol and Glycolic acid cream, and possibly something called Lytera as well. It will eventually resolve with the proper care.All the best!

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