Butt and Back Hyperpigmentation - best treatment option? (Photos)

Post inflammatory hyperpigmentation is not uncommon due to trauma from acne or scarring.
Lumecca IPL is an advanced laser that targets pigmentation, vascular irregularities and skin tone. A course of treatments of 1-4 is recommended at 4 weekly intervals to fade and reduce the appearance of pigmentation.
Once treated with Lumecca IPL, a treatment of DOT (CO2) laser may be of benefit. This laser provides a partial ablation of the skin, to target the scar tissue itself and provide further evening of skin tone and texture.

Hi there, thank you for sharing your experience — you are not alone in this, and I understand how frustrating body acne and post-inflammatory hyperpigmentation (PIH) can be, especially after so many years.

Since you're open to in-office treatments and prefer laser-based solutions, here are the most effective options to target hyperpigmentation on the back and buttocks:

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.


Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon