Hydroquinone or Fraxel for acne scar? (Photo)
Doctor Answers 5
Dark Scar Removal
Once the acne is under control, consider high strength hydroquinone (4% - 8%) for 2-3 months and that should take care of things. For an example of before and after pictures where we addressed the acne first and acne scars second, visit the link below. Good luck.
Hyperpigmentation and acne
Treat acne first
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Acne Scarring, Hyperpigmentation, and Fraxel Laser Resurfacing
Thank you for including the pictures. The first step is to get your acne under control. A topical retinoid can help with this, and will also help lighten hyperpigmentation. Once your acne is controlled, you can add a skin bleaching agent such as hydroquinone. I would prep the skin for at least eight weeks with a skin care regimen containing topical retinoid, hydroquinone, and sunscreen. After that, you can consider laser treatments (such as the Fraxel laser) to improve your acne scarring. The treatment settings will need to be adjusted to accommodate your dark skin, but you should be able to obtain improvement. You will need to continue your skin care regimen during the laser treatments, and for sometime afterwards. I suspect that you will still have some hyperpigmentation after the laser treatments, and for longer-term therapy you should switch to a non-hydroquinone bleaching product.
Fraxel laser and dark spots
Fraxel is a great laser but is not indicated for dark spots with patients with type III or IV or darker skin. I would suggest you consult a board certified dermatologist for the proper acne treatments which might also consist of topical hydroquinone to minimize the dark spots. Chemical peels may help your skin as well as Retin-A or Retinols.