Strong reaction to Cosmelan/Darkened face and neck skin.

Question

I have brown skin. I had cosmelan treatment for an old scar i got years ago from post laser treatment sun exposure. The scar got removed but then I had strong sun reaction and now both skin and neck have darkened. It seems superficial as it goes away sometimes with sunscreen use. How to remove it permanently? I am talking to a dermatologist and she says I should stay away from more surgeries as my skin gives strong reactions to it. But i need results! The creams she gives aren't doing much.

Raffy Karamanoukian, MD, FACS · Answer

We deal with this type of post inflammatory hyperpigmentation a lot. I would recommend starting the Melarase Brightening Kit regimen followed by Clear and Brilliant laser later to enhance effect. 
Best, 
Dr. Karamanoukian
Los Angeles

Jason Emer, MD · Answer

This is difficult to answer without pictures. Hyperpigmentation can be improved with a combination approach. This can be improved with lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

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