What are the best treatments to get rid of hyper-pigmentation on African American skin? Would Vi Peel or laser be better?(photo)

Question

I have dark spots around my cheeks. I managed to somewhat clear my skin last year with a series of 4 peels (I think they were various PCA peels of varying strengths, starting off with light peels then moving forward with deeper peels and 2 microdermabrasion with a facial. In any rate, I stopped taking care of my skin, I thought at 36 my acne phase was over as I went several months without getting any acne. Now, I need to clear my face up again. Plans to get VI Peel, but would a laser work?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jean M. Casello, MD · Answer

The hyperpigmentation that you see is caused by the acne breakouts.  You should control the active acne and than address the pigmentation.  ViPeel would be a better option for you to treat the pigmentation rather that a laser.  Lasers add heat to the skin and given your skin tone it has the potential make the pigmentation worse.

What are the best treatments to get rid of hyper-pigmentation on African American skin? Would Vi Peel or laser be better?(photo)

Answers (2)