What is this hyperpigmentation from Morpheus8 and will it go away? (Photo)

Question

Had 2nd session of 3 Morpheus8 and my skin is now ruined. During the first session I had absolutely no complications but this sessions results are awful. I don't know what could have possibly went wrong between the first treatment and this one. The only difference I noticed was that the provider who did my second session went over the area more than once. Is my skin now stuck like this? The office claims "this is normal". I was prescribed Triluma which makes me think it is permanent.

Stephen Prendiville, MD · Answer

Most likely, this is transient inflammatory hyperpigmentation and will go away. Please stay away from sunlight during this inflammatory phase, which will exacerbate the problem; Hydroquinone may be beneficial during this time period.  RF microneedling counts its strengths as 1) the low risk of hyperpigmentation and 2) being fairly complication free.  However, I have seen permanent "stamping" from Morpheus and would encourage you to be careful about having this done again.  I'm not sure why it was used so heavily on your nasolabial folds, which will not "go away" with this treatment.

Jennifer R. Berman, MS, MD · Answer

What Could Have Caused the Change?
Technique Differences: If the second provider passed over the same area multiple times, this could have caused more trauma to the skin than in the first session. Overlapping passes or higher energy levels can sometimes lead to complications such as prolonged redness, swelling, hyperpigmentation, or textural changes.

Skin's Condition: Factors like recent sun exposure, skincare products, or your skin's sensitivity at the time of treatment might also have played a role in your reaction.

Normal Side Effects vs. Complications: Some redness, swelling, or temporary hyperpigmentation can occur with Morpheus8 and are usually temporary. However, if your symptoms are severe or persistent, it could indicate a more significant reaction.

Why Triluma?
Tri-Luma is commonly prescribed to manage hyperpigmentation. Its prescription suggests that your provider might have noticed discoloration developing post-treatment. It does not necessarily mean the damage is permanent, but it indicates they’re trying to prevent worsening or help improve the issue.

What Should You Do?
Consult Your Provider: Share your concerns about the second treatment and how your skin responded. Ask about the settings and technique used compared to your first session. If you're not satisfied with their explanation, seek a second opinion from a dermatologist experienced in cosmetic procedures.

Follow the Prescribed Care: Use the Triluma as directed to address pigmentation. Protect your skin from the sun diligently, as UV exposure can worsen discoloration and slow healing.

Document Changes: Take clear photos of your skin daily to monitor changes and provide evidence if further evaluation is needed.

Second Opinion: If you’re not seeing improvement or your concerns aren’t being taken seriously, consult a board-certified dermatologist or plastic surgeon specializing in lasers and RF microneedling. They can assess the extent of the damage and recommend appropriate treatment, such as laser resurfacing or topical therapies.

Outlook
Most post-procedure complications are not permanent and improve with time and proper care. However, treating the issue early with professional guidance is critical for optimal outcomes. Let me know if you'd like more information or support as you navigate this!

Laura A. Katz, MD · Answer

Hyperpigmentation is not something that is normally caused by morpheus.  It suggests that possibly the settings were too high on your most recent treatment or the treatments were too close together.  The usual recommendation is one month between treatments but you could also wait up to three months to see maximum results before getting another treatment.
It is also important to do a thorough screen of a patients medication list before performing morpheus because certain medications can cause light and heat sensitivity which could also increase burning

Arthur G. Handal, MD, FACS · Answer

Hello YourstrulyX,
This is a pretty normal occurrence with Morpheus 8. Its very important to make sure to stay out of the sun before and after treatment, if not you risk making this issue worse. I would advise for the provider to go a little lighter next time, or to not go over such a sensitive area twice. If the Hyperpigmentation does not go away after a few months, ask the office about IPL to help remove the Dark spots.

What is this hyperpigmentation from Morpheus8 and will it go away? (Photo)

Answers (4)

Answer: Morpheus 8

Answer: Morpheus 8

Recommended reading

Everything you need to know about Morpheus8

Our mission is to create a world where every investment in modern beauty is Worth It.

What is this hyperpigmentation from Morpheus8 and will it go away? (Photo)

Answers (4)

Answer: Morpheus 8

Answer: Morpheus 8

Browse related questions

Recommended reading

Everything you need to know about Morpheus8

Our mission is to create a world where every investment in modern beauty is Worth It.