Age spots become darker after PicoWay treatment, should I continue? (Photo)

Question

I tried the Picoway 2 weeks ago for my age (sun) spots. However, the spots become darker. Is this normal? Or does it mean my skin not response well to the Picoway? Should I continue or not?

Jason Emer, MD · Answer

Thank you for your question, Melasma needs a combination approach to get the best improvement and will need a series of treatments. In our practice, we combine Clear + Brilliant, peels, microneedling/PRP, Aerolase, and sometimes Erbium (Cool Laser) to get the best results. See an expert for a formal evaluation. Best, Dr. Emer

Raffy Karamanoukian, MD, FACS · Answer

I would suggest always using a skin lightener with melasma treatments. Start with the kareskin Brightening Kit followed by Clear and Brilliant to help with the pigmentation. Best, Dr. KaramanoukianLos Angeles

Hratch Karamanoukian, MD, FACS · Answer

Although pico lasers have shown efficacy, there are circumstances where we would have to use topical creams like Melarase, especially in those that are prone to get hyperpigmentation and melasma. I recommend Melarase and PIH Relief Complex (Scler-X).Consideration should also be given to avoid BCP, sun exposure ..

Davin Lim, MBBS, FACD - Account Suspended · Answer

You should be on a skin lightening agent before laser, if not, use some HQ, avoid the sun and consult the Specialist who performed your Picoway laser. Dr Davin Lim. Brisbane. Australia.

Age spots become darker after PicoWay treatment, should I continue? (Photo)

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