How can you get rid of dermal hyperpigmentation?

Question

I have PIH for several years due to a chemical peel burn. Are there any options besides laser to get rid of dermal pigmentation? What are the alternatives? Thanks.

Raffy Karamanoukian, MD, FACS · Answer

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

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

Hyperpigmentation can be improved with a combination of lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Hratch Karamanoukian, MD, FACS · Answer

For uneven skin pigmentation I also recommend a skin regimen prior to to prepare the skin for the peel. 
Melarase AM cream is great to reduce hyperpigmentation and to correct uneven skin pigmentation.
 I also recommend Pigmentation Correction Complex to reduce hyperpigmentation of the skin.
Also avoid sun exposure to prevent inflammation and skin burn injury for at least 4 weeks. Spectrase is highly effective. 
Best
H Karamanoukian MD FACS

Reza Tirgari, MD · Answer

There are numerous topical agents that  can reduce or remove PIH.  We have a proprietary blend of known lightening agents that we use, which is much more effective than agents currently on the market.
You may also get better results by starting with a salicylic bleaching peel.  These are very helpful at reducing PIH in our practice

How can you get rid of dermal hyperpigmentation?

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