Post acne and hyperpigmentation scars/spots removal options? Brown South Asian Skin. Please help! (Photo)

Hello, I have medium to dark brown South Asian skin. Over the years, I have developed hyperpigmentation on face and delicate eye area in addition to acne scarring. The acne scars are pigmented (dark brown, some flat and some raised, no depressions). I do not like Retinol/Hydroquinone/AHA products or chemical peels. Because I've got brown skin, I'm afraid to try the laser option due to possibly damaging my skin more. Are there any safe laser (or something similar/advanced) options for my skin colour?

Doctor Answers 4

PIH in brown and South Asian skin - PIH relief - Post-Inflammatory Hyperpigmentation

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Brown South Asian skin is prone to post-inflammatory hyperpigmentation:

I recommend Melarase to improve hyperpigmentation as well as Scler-X, a post-inflammatory hyperpigmentation relief complex. Scler-X is an oral supplement that is taken for 3-6 months or more for maintenance therapy.

Also apply a wide spectrum high SPF 50+ sun block to prevent ongoing damage and PIH. I recommend Spectrase from Kare Skin. 

See link below. 

Acne Scarring -- Requires a Combination of Fractional Laser Resurfacing, Fillers Like Bellafill, Subcision and Eclipse Micropen

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Acne scarring and pigmentation require a series of treatments to get improvement.  I suggest a combination approach by a well trained laser dermatologist.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Asian Skin and Brown Spots and Cosmelan

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I have treated hundreds of patients such as yourself.  I would definitely avoid lasers with your skin type.  Please look into Cosmelan to best treat your dark spots.  Best, Dr. Green

Pigmented acne scars and Melarase creams

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Our office recommends our Hidef Acne Scar Protocol for pigmentation which includes Melarase creams, light chemical peels, Clear and Brilliant laser, IPL Photofacials, and skin resurfacing. Start with Melapads daily. 

Dr. Karamanoukian
Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.