Can hyperpigmentation on upper lip be treated in between laser hair removal?

I have light to meduim skin and have hyperpigmentation spots on my upper lip. Some are from mild melasma after pregnancy while others are from constant plucking and waxing. Decided to have laser hair removal I have coarse dark hairs that grow and my constant plucking and waxing is making hyperpigmentation worse. Had my first treatment 4 days ago and the spots are darker. Can they prescribe creams for the hyperpigmentation in between laser hair removal treatment? Thank you for your responses in advance

Doctor Answers 3

Melasma or Hyperpigmentation

Lasers can make melasma worse. Your physician can prescribe hydroquinone to help decrease the chance of this happening. Please contact your treating physician about your concerns


Summit Emergency Medicine Physician
5.0 out of 5 stars 22 reviews

Melasma or hyperpigmentation in area of laser treatment

Lasers can make this worse. Hydroquinone should be prescribed to decrease the chances of this. Chemical peels and Retin A are also helpful for melasma. Refractory melasma can be lasered but it can make things worse as well.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 27 reviews

Facial pigment

Depending on the type of laser used for your hair removal treatment, you may see an eventual lightening of the facial pigment.  Laser hair removal devices target pigment in the hair follicle.  If there are cells at the same level as the hair follicle which contain dark pigment, the laser will affect them as well.  In some cases, the cells may be stimulated and make more pigment, in others, the cells may be destroyed along with the hair follicle, and over time (2-5 days), the pigment released from the damaged cells will rise to the surface of the skin and flake off.  It may look darker initially as the pigment is no longer contained inside a viable cell.

Pigment can be treated with other modalities between hair removal treatments as long as the pigment treatment is held for at least a week before the next scheduled hair removal to minimize the risk of skin damage by the laser.

Suzan McGary, MD
Williamsport Thoracic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.