Hyperpigmentation following beard transplant (Photo)

Question

I had a beard transplant about 18 months ago. It changed to pigment of my skin. Its not a 5'clock shadow because you can see the color difference inbetween the follicles. Is there anythong that can correct this? My surgeon just said i should visit a dermatologist. Not helpful. Looking fpossible solutions to give me hope until i can get full attention from dermatoligist. Any experience out there from patients or doctors on this specific issue? Thanks!!

Anna Chacon, MD, FAAD · Answer

Addressing post-procedure hyperpigmentation can be challenging, but there are several approaches you might consider to help improve the appearance of your skin until you can see a dermatologist:

Topical Treatments: Over-the-counter products containing ingredients like hydroquinone, niacinamide, or vitamin C can help lighten hyperpigmented areas. Prescription-strength options may be available through a dermatologist.

Sun Protection: Consistently using sunscreen with a high SPF can prevent further darkening of the affected areas and aid in the gradual fading of hyperpigmentation.

Chemical Peels: Mild chemical peels can help exfoliate the skin and reduce pigmentation. These should be performed by a qualified professional.

Laser Therapy: Certain laser treatments can target pigmentation and promote a more even skin tone. A dermatologist can advise on the most appropriate type for your skin.

Microneedling: This procedure can stimulate collagen production and improve skin texture and tone, potentially helping with pigmentation issues.

Gentle Skincare Routine: Use gentle, non-irritating cleansers and moisturizers to support skin healing and avoid exacerbating pigmentation.

Since your surgeon recommended consulting a dermatologist, it's advisable to schedule an appointment to explore these options tailored to your specific skin type and condition. They can provide a comprehensive evaluation and recommend the best course of treatment. In the meantime, maintaining a consistent skincare routine and protecting your skin from the sun can be beneficial.

Ross Kopelman, DO · Answer

It sounds like you're experiencing post-transplant pigmentation changes, which can happen due to a variety of factors, such as inflammation, hyperpigmentation, or even slight scarring that causes a contrast between your natural skin tone and the areas around the follicles. I completely understand how frustrating this can be, especially when you're left searching for solutions.
From my experience, this type of discoloration can sometimes be managed or improved, but it depends on the underlying cause. Here are a few options to consider while you're waiting for more thorough attention from a dermatologist:
Topical Treatments: Products containing ingredients like hydroquinone, azelaic acid, or kojic acid can help even out skin tone if hyperpigmentation is the main issue. These agents lighten the affected areas over time and are often recommended for pigmentation issues post-surgery.
Laser or Light Therapy: Laser treatments like fractional lasers or IPL (Intense Pulsed Light) can target pigmentation and promote a more even skin tone. This is something that might be discussed with a dermatologist, but many patients have found it helpful in addressing skin tone irregularities.
Chemical Peels or Microdermabrasion: These treatments can exfoliate the skin, removing the outer layer where pigment changes may be more pronounced. It can also stimulate skin turnover and help blend the color differences.
Silicone Gel or Scar Treatments: If the issue is due to very fine scarring or textural changes, silicone gels or sheets might help improve the appearance over time by softening the skin and reducing the contrast between the affected and unaffected areas.
I recommend trying gentle skincare products in the meantime and avoiding any aggressive treatments until you have professional guidance. Sun protection is also crucial because UV exposure can worsen pigmentation issues. Many patients in similar situations have found these approaches helpful while awaiting further treatment. If inflammation or irritation persists, it might also be worth considering anti-inflammatory topical treatments.

Hyperpigmentation following beard transplant (Photo)

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Hyperpigmentation following beard transplant (Photo)

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Everything you need to know about Beard Transplant

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