Hypopigmentation from chemical. Can I get melanocytes back in these areas and if so, how?

Question

My hair stylist used bleach to lighten my hair, which I requested not to. She left the hair dye as it was processing on my face and bleached my face. Can I get melanocytes back in these areas and if so, how? I was thinking laying out in the sun which stimulates melanin production. Maybe it would stimulate melanocytes enough to regain my natural color. Is this possible?

Anna Chacon, MD, FAAD · Answer

Hello,

I'm sorry to hear about your experience with chemical exposure. Hypopigmentation resulting from chemical exposure, such as bleach, can be concerning. Here are some considerations and potential steps to address this issue:

Consult a Dermatologist: First and foremost, it's important to consult with a dermatologist. They can assess the extent of the hypopigmentation and provide a tailored treatment plan based on your specific condition.

Melanocyte Recovery: In some cases, melanocytes can regenerate over time, but this process can vary greatly among individuals. The likelihood of recovery depends on the depth and extent of the chemical damage.

Topical Treatments: A dermatologist might recommend topical treatments that can help stimulate melanin production. These could include medications like tacrolimus or pimecrolimus, which are sometimes used to encourage repigmentation.

Phototherapy: Controlled phototherapy, such as narrowband UVB therapy, can sometimes help stimulate melanocyte activity and encourage repigmentation. This should only be done under medical supervision.

Sun Exposure: While natural sunlight can stimulate melanin production, excessive sun exposure can lead to other skin issues, such as sunburn or increased risk of skin cancer. If considering sun exposure, it's crucial to use sun protection to avoid further skin damage.

Camouflage and Makeup: In the interim, cosmetic camouflage or makeup can help even out skin tone and conceal areas of hypopigmentation.

Patience and Monitoring: The process of regaining pigmentation can take time. Regular follow-ups with your dermatologist will help monitor progress and adjust treatment as needed.

Each case is unique, so professional guidance is essential to determine the best course of action for your skin.

Best regards,

Hypopigmentation from chemical. Can I get melanocytes back in these areas and if so, how?

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