Can Post CO2 Laser Treatment Hyperpigmentation Be Treated? If So, How?

Patients with darker skin types stand a higher risk of PIH with not just laser treatments but pretty much any treatment which trigger an inflammatory response in the skin. As such, matching the right treatment for the patient and preparing the skin are POF paramount importance.For patients with darker skin types who need CO2 laser treatment, I'd routinely start them on a skin care routine that involves SPF and hydroquinone for 6 to 8 weeks before starting laser treatment. Bear in mind that preparation only reduces the risk but cannot eliminate the chances of PIH.The treatment of PIH consists of good uv protection, suppression of pigment formation with hydrquinone or other brightening agent and retinol. Chemical peel may be required for deeper pigmentation. And allow plenty of time for natural recovery and for the treatment to work.

In my Santa Monica and Beverly Hills plastic surgery practice, I place my Fractional CO2 and chemical peel patients on a periprocedural skincare regimen that includes MelaClenz, Melarase AM, and Melarase PM.  Melarase AM contains four active sunscreens that block UVA and UVB radiation as well as skin lighteners.  Melarase PM contains skin lighteners and enzyme blockers that minimize postinflammatory hyperpigmentation.  

Thank you for your message! Hyperpigmentation is a risk after laser procedures though typically will fade with time. We emphasize the importance of staying out of the sun after these procedures whether hyperpigmentation occurs or not, so make sure you have a high grade SPF sunscreen. Certain lightening agents such as hydroquinone and retinols an be used to help fade darker spots. Gentle peels or Erbium lasers can also be used, though there is a risk of further hyperpigmentation with this as well! I would recommend following up with your provider.