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There is a risk of post inflammatory hyperpigmentation with micro laser peel in types V and VI skin, even at the most superficial depth (10 microns). You would need to use a broad spectrum sunscreen at least SPF 80 and a skin lightening agent like hydroquinone for a month before and a month after the procedure. That decreases but does not eliminate the risk. You are right about wanting to find an expert. You need to see a board certified dermatologist or plastic surgeon with training and experience in doing this procedure, particularly in Types V and VI skin.
We have had amazing results with the Dot Co2 Laser Resurfacing on darker pigmented skin. We are able to control the heat and depth with this technology. You can do research on the internet to view before and after photos using this laser on darker pigmented skin.
You are correct to have concern regarding laser peels in your skin type. First of all darker spots are deeper than the depth of a micro laser peel. We have a beautiful erbium system called the Sciton Joule. We are able to dial down the depth of the treatment to customize the depth. I am concerned that the level of your undesirable pigment is not going to be in the micro laser peel range. I also agree pretreatment and post laser protection fron the sun are critical if you decide to proceed.
In general the Sciton Micro Peel and other settings on the Sciton laser can help treat the telangiectasias that you have. See the below link for more information on the Sciton Laser capabilities.
And therefore, they must "work" at "least a little," right? Please check my answer elsewhere on this forum for "What is the best laser for skin resurfacing?" I will include edited parts of the answer here for your review. I have taught laser surgery,...
Fillers such as Restylane Silk, Belotero, or Juvederm can work well to treat lines around the mouth, but the best first option is laser resurfacing or deep peels to induce collagen production. Superficial radiofrequency devices and microneedling can help as well and are less invasive. I s...
Patients of color need to be aware that they may respond with hypopigmentation or hyperpigmentation when being treated by resurfacing lasers. It is my opinion that pretreatment is necessary for darker pigmented patients using higher energy lasers. It sounds like those three areas on your...
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