I am 28 years old. I have a black birth mark on my face on and it is covered by black & white hairs. Any suggestions? (photos)

Dealing with a birthmark that includes both pigmentation and hair can be challenging, but there are several treatment options available. Here are some suggestions to consider:

Consult a Dermatologist: It's important to start by consulting with a board-certified dermatologist who can evaluate your specific case and recommend appropriate treatment options based on the type and depth of the birthmark.

Laser Treatments:

Laser Hair Removal: This can be effective for reducing or eliminating the hair in the area. However, the presence of white hair might make laser hair removal less effective, as lasers target pigment in the hair.
Pigment-Specific Lasers: Lasers such as the Q-switched laser or the Alexandrite laser can be used to target and reduce the pigmentation of the birthmark.
Electrolysis: This is a method of hair removal that can be effective for white hairs, as it doesn't rely on pigment. It uses electrical currents to destroy hair follicles.

Surgical Options: In some cases, surgical removal of the birthmark might be considered, especially if it is raised or if other treatments are not effective.

Topical Treatments: While less commonly used for birthmarks with hair, certain topical treatments may help lighten the pigmentation over time, though they are generally less effective than laser treatments.

Customized Treatment Plan: Your dermatologist can help create a customized treatment plan that may involve a combination of these methods to achieve the best possible outcome.

It's essential to have a thorough consultation to understand the benefits, risks, and expected outcomes of each treatment option.