I have a cafe au lait birthmark on my upper eyelid of about 1cm in diameter and in color of a cafe au lait. A plastic surgeon told me it is unsafe to do laser on eyes, with possibilities of scarring, darker, change of skin texture etc. A dermatologist suggested I use hydroquione but it has been weeks, there's no result but skin peeling. He suggested cryotherapy but I read scarring is possible. It is on the eyelid so any type of scarring of change is going to be very obvious. What are my options?
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June 4, 2017
Answer: Cafe Au Lait Spot, Treat with Tattoo Laser
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Jason Emer, MDDermatologic Surgeon, Board Certified in Dermatology
Melasma is a very common cause of skin pigmentation. It can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is...
Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong...
There is no cure for melasma and some patients have worsening melasma despite everything tried. The most important thing is to keep inflammation low, stay in lightening creams, do the appropriate laser treatments and sun protection/heliocare. Best, Dr. Emer.
