Considered CO2 for face, now concerned about hyperpigmentation (Photo)

Question

I'm early 40s with ok skin (I don't wear foundation, only concealer under eyes). My concerns are anti-aging & under eye area. Am considering CO2, for face or under eyes. Through research realized it may cause hyperpigmentation. Years ago had CO2, months later noticed hyperpigmentation (at the time I didn't connect dots). Lumecca took away all the hyperpigmentation. Now I'm thinking maybe a different laser or treatment with no risk of hyperpigmentation.

Jason Emer, MD · Answer

I suggest following up with your doctor or a cosmetic dermatologist for a formal evaluation and after care recommendations. I recommend skin care with vitamin c, b5 hydrator, silicone-based scar gels with growth factors, and enzymatic washes with papaya enzyme to give improvement. Sun protection is essential.

Lasers like CO2 work best in combination with other treatments in order to improve the skin's texture and collagen. To avoid any risk of hyperpigmentation, we require our patients to do a chemical peel 14 days prior laser treatment. After CO2, I recommend adding fractional lasers such as Clear and Brilliant, Fraxel, Moxi, or Halo, microneedling/PRP, and radiofrequency treatments. Best, Dr. Emer​

Considered CO2 for face, now concerned about hyperpigmentation (Photo)

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