What's next after microneedling for PIH skin?

Dark scars can be problematic as they can be visible far longer than one might expect. The fundamental problem with dark scars is a process known as post-inflammatory hyperpigmentation in which the pigment cells near the scar are stimulated. In clinical practice, we always begin with application of Melarase AM and Melarase PM creams (coupled with Melapads) to help smooth out the color and pigmentation. Once the creams are started, lasers can be used to further reduce the scarring.

Best,

Dr. Karamanoukian

Realself100 Surgeon

Thank you for your question and posting pictures.  We've been using the PicoSure FOCUS treatment for 2 and half years with great success.  It does require a series of treatment, usually a minimum of 4.  Depending on the depth of your pigment, you may need several more treatments.  If the pigment is not moving at all after 2-3 treatments, we sometimes will treat patients with the PicoSure Flat Lens.  You may not be a candidate based on your skin type.  You might contact the office in advance of your next appointment to discuss your concerns.  Best of luck.