Q switch laser for facial birthmark, what else can I try to remove this? (photos)

Question

I have a small cafe au lait on my cheek. I tried a q switch laser about 10 months ago. It got darker at first then faded away and got lighter than it originally was. Since then it has gotten darker again. Is it worth doing a second treatment or will the same thing likely happen again? Could multiple treatments lighten the spot forever or is this something that requires ongoing treatments? Is there a laser that is better for cafe au lait that I should look into? Thanks.

Jason Emer, MD · Answer

This can be improved with tattoo lasers. It will take a series of treatments. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Laura Riehm, MD · Answer

Thanks for your question and posting a picture.  Since your concern is primarily the brown pigmentation, we would probably recommend a series of PicoSure FOCUS and / or Flat lens.  We like it because it is safe for all skin types.  It was worked well for most of our patients.  Our patients typically need a series of 3-5 treatments.  You will need to wear a medical grade sunscreen to help keep the area protected.  I hope this helps.

Davin Lim, MBBS, FACD - Account Suspended · Answer

The Picosure at 532 is a filtered laser. No doubt the pico laser is excellent for skin rejuvenation in cases pertaining to its application, however old fashioned nano or QSL for tattoos do a better job than state of the art Picosure in THIS case. Pico way or Enlight has the power, as the end point MUST be frosting. See a dermatologist for diagnosis and management. This size should only take 1-2 treatments at most, especially in your skin type. All the best, Dr Davin S. Lim

Q switch laser for facial birthmark, what else can I try to remove this? (photos)

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Q switch laser for facial birthmark, what else can I try to remove this? (photos)

Answers (3)

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Everything you need to know about Laser Resurfacing

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