Thank you for your inquiry. The short answer to your question is yes--LHR can indeed cause hyperpigmentation. This is often due to incorrect settings being used for the appropriate Skin tone/color (eg. higher risk in Fitz 4-6 skin types). Additionally, this can happen with older LHR devices. The newer technology, like DIolaze XL by InMode Aesthetics (available with their different devices), has a built-in cooling mechanism that helps to prevent over heating of the skin. The technology also targets the follicle very specifically if done with the correct settings for the appropriate skin tone. Depending on the severity of the hyperpigmentation, your provider should recommend and/or prescribe a skin care product that can help address this as soon as possible (eg. Hydroquinone). Future treatments should be temporarily put on hold until the hyperpigmentation resolves. You should discuss the treatment settings with your provider to ensure that he/she used the appropriate settings and considers decreasing the energy settings to avoid any recurrences. With decreased energy setting(s), you may need more treatments to achieve your desired outcomes; but in the end, this will ensure your safety and minimize and/or avoid any hyperpigmentation recurrences. Best of luck.