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

Question

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?

Raffy Karamanoukian, MD, FACS · Answer

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

Hratch Karamanoukian, MD, FACS · Answer

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.

Mitchell Schwartz, MD - Account Suspended · Answer

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.

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

Answers (3)