White hyperpigmentation from laser hair removal on arms. (Photos)

Question

I received laser hair removal one month ago. This was a touch up appt as I had a small patch of hair. I'm Hispanic and live in FL so my skin is tan. Immediately after the treatment the skin was slightly red + developed mild burns. I applied aquaphor. After two weeks fresh skin appeared. Problem is there is little pigment (white marks). Parts are regaining pigment but at a slow pace. Should I stay it of the sun at all times? Should I see an MD? I of course will discontinue any further treatments.

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist. I recommend Silagen + Bioshield to promote healing. Lasers and microneedling/prp can give improvement to any scarring. See an expert. Best, Dr. Emer

Warren B. Seiler III, MD · Answer

Thanks for your question. I would absolutely avoid sun exposure and if you are outside make sure you are wearing a physician grade sunscreen with zinc. I would recommend seeing the overseeing physician of the practice that did the treatment and would also say not to have any further treatments with that particular office again. A test spot is always performed at our office on Hispanic patients to ensure the settings are correct prior to performing a full treatment. Make sure if you decide to have further treatments that the new location does this as well. I hope this helps.

Laura Riehm, MD · Answer

Thanks for your question and posting pictures.  You were badly burned.  You should follow up with the supervising physician where the treatment took place.  We test spot darker skin type patients with 1-2 pulses someplace that won't show.  After you are healed, you need to find a differently place!For anyone, if LHR hurts that badly, you are in the wrong place.  You should probably seek out a laser vs. IPL to help avoid complications.  Almost all newer lasers are safe for all skin types and have features built in (such as sapphire cooling tips) to make them more comfortable.  Some of the newer technology is also more efficient, allowing for lower energy settings to be used with better results and less discomfort.  With modern equipment, your treatment should only be mildly uncomfortable, but not painful.  We never use numbing cream for LHR.  We want our patients to be able to tell us if they feel pain or an unusual level of discomfort.We recommend finding an experienced and reputable provider in your area with updated equipment.  A consistent overlapping technique is the key to avoiding patchiness in LHR.   Calibration and power of the laser is important for a safe, comfortable and effective treatment.  Find out what laser they will use and if it is under a maintenance contract.  If their laser isn’t calibrated on a regular basis or is underpowered, your treatment may be painful or inefficient. After a series of 6-8 initial treatments, you may need a touch up every 3-5 years.

White hyperpigmentation from laser hair removal on arms. (Photos)

Answers (3)

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