How to Treat Hyperpigmentation After KTP Laser Treatment?

I had a KTP Laser Treatment 10 weeks prior which has left some post-inflammatory hyperpigmentation, red, scratch-like depressions where I blistered ( the area she treated for capillaries), and some brown marks which were originally faint hyperpigmentation marks. I have a reunion and wedding to attend in 7 weeks and want to improve my skin. I have access to Fraxel Restore or IPL photorejuvenation. I am so nervous to touch my face again, but am also so upset at the way my skin looks. Any advice on PIH treatment would be appreciated.

Doctor Answers 1

Conservative treatment warranted after hyperpigmentation and scarring after KTP laser

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Thankfully, the affected areas should get better with time. It is critical to obtain consistent daily sun protection with high SPF sunscreen and reapply every 2 hours between 10am and 4pm. Consider topical antioxidant vitamin C serum in morning prior to sunscreen and alternating regenerative TNS cream with gentle prescription-strength retinoid every other night to facilitate tissue remodeling. Prescription-strength bleaching cream may be added later if hyperpigmentation persists. IPL should be avoided and Q-switched Nd:Yag laser such as Spectra Laser should be considered. Refrain from ablative fractional laser resurfacing within the next 3 months as the pigmentation and/or depressions may worsen.

Bay Area Dermatologic Surgeon
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