I have a dark birthmark. Should I get laser resurfacing, or would it suffice to just use skin-lightening cream?

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question. Newer laser techniques do allow us to safely and effectively treat patients with darker skin tones. I suggest that you consult with your board certified facial plastic surgeon to determine the right laser type and treatment for you. 
Best wishes,

This needs an in-person evaluation. This may be improved with tattoo lasers. It will take a series of treatments. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer