Will a Chemical peel be effective in treating my hyperpigmentation on my smile lines? Or will I need fillers? (Photos)

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question. While chemical peel is a great option for irregular pigmentation, we find that the most effective treatment is one that combines a few different options. I suggest that you move forward and consult with a board certified facial plastic surgeon to craft a treatment and treatment plan that is right for your particular needs.
Best wishes,

The hyperpigmentation of your face can be treated with a combination of treatments.  I would suggest a topical application of Retin-A and Hydroquinone and a series of chemical peels.  The Vi peel is good a evening your skin tone.  This should all be done under the supervision of a qualified medical professional.I hope this helps.