IPL for Perifollicular Hyperpigmentation on Leg?

Hyperpigmentation can be due to a number of causes. With post inflammatory type of Hyperpigmentation in question, it would be necessary to combine several different treatment modalities in order to eradicate the problem. For example, I would begin treatment with a 6% hydroquinone/tretinoin combined with a UVA/UVB sunscreen with an SPF of at least 50. After 3 weeks of using this combination, I would then attempt to treat the Hyperpigmentation with IPL at low energy levels to see whether resolution can be achieved. If the type of Hyperpigmentation is present on every follicle and most likely due to genetic predisposition, IPL would not be an effective treatment method. If Hyperpigmentation is from sun damage, IPL is an option, but this type of Hyperpigmentation would not ONLY be seen around the hair follicle.

IPL treatment is best for the face, neck, chest, and hands.  I believe a better treatment for the dark spots on the leg would be a series of superficial TCA peels and 4% hydroquinone bleach applied topically.

Post inflammatory pigmentation of the legs may be best treated with superficial chemical peels. This should be augmented at home with skin lightening agents.