Does hypopigmentation spots exclude you from BBL treatments?

Question

I have noticed, mostly when tanned in the past, I have some spots on my legs (mainly) and arms that stay lighter. I believe it could be (natural) hypopigmentation. I would like to get ILP treatments...specifically, BBL Forever Young. I have freckles that I would like to reduce or eliminate. Am I at high risk...is there a better option for my goals? Any suggestions? Thank you for your time and help.

Michael R. Macdonald, MD · Answer

Broad Band Light (BBL) is a great treatment for reds and browns as well as rejuvenation, but unfortunately once the pigment is gone(Hypopigmentation) the BBL treatment will not improve that area.  It should help with your freckles.  Seek a professional well versed in all skin types prior to undergoing any type of laser treatment.

Razieh Soltani, MD · Answer

BBL does not improve or worsen the hypopigmented spots. However, it is a great treatment for freckles. As freckles improve, the hypopigmented spots will be come less noticeable. I hope that helps. 
Razieh Soltani, MD. Board certified dermatologist.

Patrick Flaharty, MD FAACS · Answer

As we age the pigment in the skin can change. These hypopigmented spots you notice are normal with aging of the skin. BBL is an effective treatment for sun spots and vessels but of course will not help the hypopigmented spots. BBL is safe to perform in this setting and the appearance of hypopigmented spot is not a contraindication for BBL treatments. BBL is our go to treatment for sun spots, unwanted vessels or red spots and to smooth and tighten the skin.

Rebecca Gelber, MD · Answer

Great question. With age, a lot of people do have areas that they lose pigment. These areas will not improve with FY BBL, but the hyperpigmentation (freckles) should. Also, often once you remove the hyperpigmentation around it, the areas of lighter pigment become less obvious.If the areas of hypopigmentation bother you, there is research and we have had some success using a combination of fractional ablative resurfacing (Halo or Profractional) with Latisse. It can also be helpful with scars and lighter areas like the upper lip that have been resurfaced in the past. And no, it doesn't cause you to grow hair!

Does hypopigmentation spots exclude you from BBL treatments?

Answers (4)

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