How Can I Repair Hypopigmentation from an Old Obagi Blue Peel?

Debating Fraxel repair? A 2003 Obagi Blue left hypo on cheeks, jaw and forehead. Have had microderm, laser, and more chemical to repair with limited success. Best so far is just sunscreen and hydroquinone (4%). Am 41, want to fix hypo, fine lines, and some milia. What are best options?

Doctor Answers 3

Hyperpigmentation rebound and Melarase creams

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Hypopigmentation may not improve with hydroquinone.  Beware of rebound hyperpigmentation, so you may want to switch over to a milder skin lightener such as Melarase. Raffy Karamanoukian, Los Angeles

Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Hypopigmentation is difficult to repair

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Hypopoigmentation after a cosmetic procedure is unfortunate and difficult to treat. Sunscreen will prevent damage to surrounding skin which can accentuate the different pigmentary states of the skin. 

Hypopigmentation from an Obagi Blue Peel

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You may need to be very careful if you have the type of skin that hypopigments/scars easily. Fine lines can usually be treated safely with fillers. Milia can be treated with extraction or electrocautery. Unfortunately, it will be very difficult to stimulate repigmentation in an area that has been hypopigmented for so long.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

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