Is it possible for microneedling or dermabrasion to improve this sort of hypopigmentation? (Photo)

I have written before that the combined use of medical microneedling (which helps to new collagen and elastic fiber synthesis and potentially autotransplant pigment producing cells from the adjacent normal areas), the concomitant use of topical tyrosine, an essential amino acid needed for pigment production, and lanatoprost, a pigment promoter, can help to restore pigmentation in regions of vitiligo, postinflammatory hypopigmentation and scars. That being said, the photo does suggest that you visit a cosmetic dermatologist to determine whether you have some more easily reversible pigmentary issue that can give rise to a similar picture to the one seen here, such as a fungal infection known as tinea versicolor, which can persist for many years if left untreated. Hope this helps. Best of luck

Hyperpigmentation of any kind needs a combination approach of peels like Cosmelan; lasers like Clear + Brilliant, Aerolase or Laser Genesis; radiofrequency like Venus Viva; and constant skin care and sun protection. Bimonthly facials with SilkPeel DermalInfusion are essential to hydrate, exfoliate and infuse vitamins and antioxidants into the skin. If you have acne you can do additional treatments and peels to get more improvement. Hypopigmentation will need more of an evaluation and possibly additional lasers to get improvement. I suggest a formal consultation with an expert in lasers and peels. Best, Dr. Emer.