Will my post inflammatory hyper pigmentation (PIH) fade or is it permanent? (Photos)

Question

I had CO2 laser mole removals on 2 flat dark moles. It's been 2 months since my treatment and one of the moles has returned in the form of a very light brown spot. My surgeon told me it was post inflammatory hyper pigmentation and that it should fade withing 6 months. Since meeting with him the spot has gotten darker. Is it realistic to expect the pigment to blend in with my skin within 6 months or is this permanent?

Jason Emer, MD · Answer

It may be permanent, but can definitely be improved. I suggest PRP, as its essential for would-healing and post ablative laser like co2.  PRP with other lasers like fraxel/clear + brilliant or venus viva in combination will give you improvement. See an expert. Best, Dr. Emer

Daniel Lensink, MD · Answer

Don't worry! Your post-inflammatory hyperpigmentation (PIH) will resolve! It would be a good idea to apply sunscreen to the area daily, winter and summer, to lessen the appearance, but expect a number of months for your PIH to resolve.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Laser removal of moles not a good idea for multiple reasons: 1st, moles can become atypical and cancerous over time; the laser insult not going to help; 2nd) moles can extend through the full thickness skin thus laser cannot remove the entire thing often;you are likely seeing the effect of this with the mole growing back from remnant cells that could not be eliminated.

Will my post inflammatory hyper pigmentation (PIH) fade or is it permanent? (Photos)

Answers (3)