Laser Hair Removal or Electrolysis for Hyperpigmented Skin?

Question

I have dermal PIH due to excessive plucking and not using sun protection. I have PCOS so hair growth is more than average. I need to remove the hair in order to avoid further PIH. Which method is safer on already dermal hyperpigmented skin? I am East Indian with a fitzpatrick skin type 4. Will the laser target the pigment in the hair follicle if I already have dark hyperpigmented skin there? Which causes less damage to the skin? I have read that laser can cause melasma, is this true? Thank you

Harold J. Kaplan, MD · Answer

Hi HTPT. Even with the hyperpigmentation you are speaking about, we would most likely reach for our diode laser (Lumenis Lightsheer) because it's more effective. If the hair were to be VERY coarse and the PIH very dark, we may choose instead or yag laser (Sciton Profile). Either way, laser would be superior to electrolysis.

Pablo Prichard, MD · Answer

Thank you for your question. I would recommend a diode laser with a longer wavelength such as a 1064nm. This will be more gentle on skin with darker pigment while still effectively removing hair, it also is more efficient for this situation then electrolysis. Stay out of the sun for as long as possible before and after your laser treatments and use SPF on the are if you will be in the sun. Make sure you are going to a provider that you trust and have researched.

	-Best wishes

Laser Hair Removal or Electrolysis for Hyperpigmented Skin?

Answers (2)