Is this treatment discouraged for dark complexions? As a black woman with PIH, will this worsen hyperpigmentation? (Photo)

Question

I get hyperpigmentation scars from any type of inflammation, or minor abrasion. They take months or more to fade even with skin brightening treatments. I'm 47 and want to diminish my smile lines and marionette lines on my mouth corners when I smile; but I'm scared of a worse side effect; more PIH scarring.

Harold J. Kaplan, MD · Answer

Hello chicmama.  Dermal filler injections like Restylane or Radiesse would be excellent to smooth out the nasolabial folds at the sides of the nose and mouth.  Although bruising is possible, typically post inflammatory hyperpigmentation does not result after the needle pokes.  Best of luck.

Jason Emer, MD · Answer

this is post inflammatory hyperpigmentation/melasma/discoloration that needs cosmelan or enlighten peels at home which we can do virtually and send to your home along with aerify peels regularly, vivatia foam, restorsea 10x, faith essence serum, and cosmelan 2 cream.

Hyperpigmentation from any type needs a combination approach of peels like cosmelan, enlighten and aerify,  lasers like clear and brilliant and aerolase or laser genesis, radiofrequency like venus viva, and constant skin care and sun protection.  Bimonthly facials with silk peel dermalinfusion is essential to hydrate, exfoliate and infuse vitamins and antioxidants into the skin.  If you have acne you can do additional treatments and peels to get more improvement.  I suggest a formal consultation with an expert in lasers and peels. Best, Dr. Emer.

Tammy Penhollow, DO · Answer

Hyperpigmentation with microneedling is very rare. Typically we invite patients of all Fitzpatrick classification skin types to undergo microneedling with minimal to no risk of hyperpigmentation. However, choosing the right doctor to perform this is imperative; please discuss prior to therapy how he/she will monitor your response and the needle depth. The time between treatments may also need to be extended. I would consider microneedling in PRP during the treatment to further help with the anti-inflammatory goal and for the skin rejuvenation, collagen induction and reduction of current hyperpigmentation.

Radiant Divine Medical Spa - Brecksville · Answer

Hello! Thank you for your question. Microneedling is safe for all skin types. If done properly, there should not be any scarring or hyperpigmentation. If you are looking for a treatment for you PIH, medical grade skincare would be better. You will need to be on a regimen with hydroquinone and tretinoin.

Radiant Divine Medical Spa - Medina · Answer

Hello! Thank you for your question. Microneedling is safe for all skin types. If done properly, there should not be any scarring or hyperpigmentation. If you are looking for a treatment for you PIH, medical grade skincare would be better. You will need to be on a regimen with hydroquinone and tretinoin.

Is this treatment discouraged for dark complexions? As a black woman with PIH, will this worsen hyperpigmentation? (Photo)

Answers (7)

Answer: Microneedling

Answer: Microneedling

Answer: Microneedling

Answer: Microneedling

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Is this treatment discouraged for dark complexions? As a black woman with PIH, will this worsen hyperpigmentation? (Photo)

Answers (7)

Answer: Microneedling

Answer: Microneedling

Answer: Microneedling

Answer: Microneedling

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Recommended reading

Everything you need to know about Microneedling

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