Lumecca ipl done about 4 weeks ago - 3 weeks later big patches appeared, melasma or pih? (photos)

Question

So I got 2 or three zaps per side treating a few broken blood vessels and 2 small frekles. I was left with a huge spot redish brown. I got my treatment about four weeks ago noticed this about a week ago. These were not there prior. I have been staying indoors because I don't want to make it worse. What should I do? What is this? Please help. Dermatologist said she didn't know if it was pih or melasma forming. She said she thought pih

Jason Emer, MD · Answer

looks like you have melasma after IPL I suggest you see an expert as you will need peels and skin care at this time.  Best, Dr. Emer.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question skinna. I understand your concern.
IPL is a great treatment for facial rejuvenation. Hyperpigmentation may occur after a treatment or from melasma. In either case it can be treated with sunscreen and other topical products containing ingredients such as hydroquinone, kojic acid, retinoic acid, salivcylic acid, glycolic acid, vitamin C, vitamin E, and hyaluronic acid. Please consult with a doctor for specific recommendations. Good luck!

Shelby Bentz, MD (retired) · Answer

Hello,  If your dermatologist is concerned that you may be forming melasma or PIH after IPL, I would suggest that you apply a medical grade physical sunblock with a minimum SPF of 30 that contains zinc oxide a minimum of 3-4 times per day and start a hydroquinone or non-hydroquinone bleaching cream (discuss with your dermatologist) immediately.  Other factors besides the IPL that can exacerbate pigmentation include a history of melasma, hormone medications including oral contraceptives, abnormal thyroid tests, pregnancy and sun exposure.  Early treatment is essential if this is, in fact, melasma or hyperpigmentation. Good luck to you.  If you have to wait for your dermatology appointment, be  extra vigilant with your sunblock.

Lumecca ipl done about 4 weeks ago - 3 weeks later big patches appeared, melasma or pih? (photos)

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Lumecca ipl done about 4 weeks ago - 3 weeks later big patches appeared, melasma or pih? (photos)

Answers (3)

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Everything you need to know about Lumecca

Our mission is to create a world where every investment in modern beauty is Worth It.