Treatment for Hyperpigmentation After Laser Resurfacing

Dear Doc! I got ablative fractional laser resurfacing on my face 2.5 weeks ago. I have developed change in color of skin, a dark patches on sides of my lips. It looks bad. I am worried and depressed. Do you think de-pigmenting creams will be help? What should I do?

Doctor Answers 10

Post-inflammatory Hyperpigmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It sounds like you may have developed some post-inflammatory hyperpigmentation after the laser treatment.  This is very common after an ablative laser treatment and can be treated easily.  However, you should first consult with the provider who did the procedure and be monitored until it has improved.  Diligent sun avoidance and topicals (such as hydroquinone or tretinoin) will all help it improved. Plan on it gradually fading over several weeks to months.

Treating Hyper-pigmentation with Clear and Brilliant Technology

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Clear and Brilliant and Perméa is a non-invasive fractional laser that is an excellent option for collagen rejuvenation and pigmentation correction.. The results of the treatment are both immediate and progressive. A few days after the treatment, your skin will start to feel softer, look brighter and show more even tone and reduction of brown spots

#Permealasertreatments    #ClearandBrilliant   #brownspottreatments

Permea Laser for Hyperpigmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Perméa is the latest technology utilizing a low-power1927 nm non-invasive fractional laser for rejuvenation and pigmentation. The Clear + Brilliant Perméa is designed to address early signs of aging and help to prevent them.The results of the treatment are both immediate and progressive. A few days after the treatment, your skin will start to feel softer, look brighter and show more even tone and reduction of brown spots.

#ClearandBrilliant    #Permealasertreatment     #brownspottreatments

Hyperpigmentation after laser resurfacing

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I agree with the others that you should see your laser surgeon to see why this happened and what treatment course may be best. In general, post-inflammatory hyperpigmentation may occur following any resurfacing procedure. This is usually first treated with a variety of bleaching agents including hydroquinone-containing products. Mild to moderate depth chemical peels can also be used to hasten the pigment resolution. I would also advise you to be careful about sun exposure right now until the pigment resolves - be sure to wear a broad spectrum sunblock of at least 30SPF (although 40-50 would be preferable). Good luck.

Jason R. Lupton, MD
San Diego Dermatologic Surgeon

Darkness following laser

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I would suggest you follow up with your laser surgeon. You need to determine if this represents pigmentation versus post inflammatory erythema or ecchymosis (bruising). If it is hyperpigmentation , then your physician may discuss certain "bleaching" agents with you. There are many options to choose from that can help.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

Darkness after ablative resurfacing

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The doctor you should be asking is the treating doctor who did your resurfacing. The first thing that needs to be answered is if the darkness is from your pigment, or from bruising which is doubtful 2.5 weeks after the procedure. It is not unusual to have areas that are more red than others after resurfacing and on some dark skin tones this can look deceiving. Redness from increased blood flow will not respond to lightening creams. See your doctor to get the best answer and if they think it is hyperpigmentation than a lightening cream may help.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Postinflammatory hyperpigmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hyperpigmentation after laser resurfacing is a common problem and occurs more frequently in patients who tan easily (have a higher Fitzpatrick skin scale score). This is called postinflammatory hyperpigmentation and fortunately is reversible with the proper care.

The most important factor is to avoid all sun exposure with both a sun blocking agent with UV-A, UV-B, and UV-C protection. In addition you should wear a barrier to the sun such as a sun hat, etc. Additionally, you should use a 4% hydroquinone cream and a mild skin steroid cream. These ingredients can be purchased separately or can come combined into a singe cream. It is crucial to treat this condition as soon as you notice it and continue treatment until it has resolved.

Pigmentation after laser treatments

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is not uncommon for ablative resurfacing patients to experience post inflammatory hyperpigmentation if they are a Fitzpatrick skin type 3 or greater, have a history of pigment issue(ie Melasma) or live in a sunny climate. In these particular situations it is recommended that you pretreat the skin with a topical(ie Triluma) to avoid the pigmentation.

When it occurs after treatment the same protocol is used but it does take longer for the topical to yield results. Also it is very important that during this time you are diligent about avoiding any UVA or UVB exposure. Meaning that sunscreen is a must, as well as a hat.

Lee Robinson, MD - RETIRED
Portland Facial Plastic Surgeon

Treatment of Hyperpigmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes, I would suggest hydroquinone cream to help with the hyperpigmentation. However, it will take several weeks to start working and several months to see a significant change. Good luck.

All-You-Need Brightening Kit

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Post inflammatory hyperpigmentation after laser resurfacing can be treated with topical brightening creams containing hydroquinone. I recommend a regimen from Kare Skin, the All-You-Need Brightening Kit. It will take time for it to clear. 

I also recommend Scler-x post inflammatory hyperpigmentation relief complex from VenaSmart. 


Dr Karamanoukian

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.