It's understandable to be concerned about persistent bumps and discoloration following a beard transplant. Here are some insights and potential steps you can take: Healing Time: It's not uncommon for skin to take time to fully heal after procedures like a beard transplant. However, since it's been over a year, it's reasonable to seek further evaluation to understand the cause of these issues. Bumps (Folliculitis or Ingrown Hairs): The bumps might be due to folliculitis or ingrown hairs, which can occur after hair transplants. Gentle exfoliation and the use of products containing salicylic acid or glycolic acid can help manage these conditions. However, a medical evaluation is recommended to determine the exact cause. Discoloration: Post-inflammatory hyperpigmentation (PIH) can result from trauma to the skin, such as a transplant. This type of discoloration often fades over time but can be treated with topical agents like vitamin C, niacinamide, or azelaic acid to help even out skin tone. Consult with a Dermatologist: Given the duration and your concerns, consulting with a dermatologist is advisable. They can assess your skin's condition and recommend appropriate treatments, which may include topical therapies, laser treatments, or other interventions. Avoid Further Trauma: Since you mentioned having had one session of laser hair removal, ensure that any further treatments are suitable for your skin type and condition to avoid exacerbating the problem. Patience and Care: Skin healing and pigment normalization can take time. Consistent use of recommended treatments and sun protection can support this process. Addressing these issues with a professional can help determine whether the changes are likely to be permanent and what can be done to improve them.