Can the Fraxel laser treat hypopigmention on the areola?

Question

Since I was a teen, I would occasionally find what appeared to be cystic pimples generating beneath my areola. Not thinking about the long term effects, I'd pop them, as they were a painful nuisance, and have been left with a few areas of hyperpigmentation as well as what strangely appears to be a DPN of the previously infected area. Can this be fixed?

Jason Emer, MD · Answer

hypopigmentation cannot be improved with lasers, but latisse, MTS rolling and stem cell ampules can help.  Best, Dr. Emer.

Laura Riehm, MD · Answer

Thank you for your question.   We have been very successful lightening the pigment in personal areas including areolas, bikini area, knees & elbows using the PicoSure laser with the FOCUS and / or Flat Lenses with a series of treatments.  Fraxel's wavelength is 1550 & 2940nm.  We use those wavelengths to primarily correct texture issues like acne and surgical scars.  We prefer the PicoSure's 755nm for pigment correction.

FOCUS lens treatments have the extra benefit of reducing any texture issues.  PicoSure has almost no downtime.  This is one of our go to treatments for patients older than 40 and worried about the signs of aging.  This laser is safe for all skin types.  We also send some hyperpigmentation patients home with prescription strength 4% Hydroquinone (HQ).  Do not buy it over the counter or off the internet. Laws vary by state.  In Texas, physicians can prescribe and dispense in office.  Start with sunscreen every day!  Once you have treated your hyperpigmentation to your satisfaction, you will probably need a follow treatment every 6 to 12 months depending your level of re-pigmentation. Best of luck

Can the Fraxel laser treat hypopigmention on the areola?

Answers (2)