A 40-year-old member asked:
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how do i cover up uneven skin pigmentation after laser resurfacing?

6 doctor answers
Dr. David F. Jaffe
31 years experience Dermatology
Topical therapy: Hydroquinones and retinoids are most useful. Both can be prescribed, individually or in combination, by your dermatologist.
Answered on Aug 19, 2011
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Dr. H. william Song
29 years experience aesthetic Medicine
Topical therapy: The uneven pigment could be due to a post inflammatory hyperpigmentation reaction causing cells in your skin to produce excess melanin. The best way to treat this is to use a cream containing 4% hydroquinone. Your doctor should be able to prescribe this. If the pigment is due to fine residual scabs, a microdermabrasion should be able to remove them, but wait 3 weeks following the laser treatment.
Answered on Sep 15, 2011
Dr. Jeffrey Pollard
21 years experience ENT and Head and Neck Surgery
IPL vs. Topicals: At times, a gentle ipl treatment can help to expedite the resolution of post treatment redness and blend any areas of hyperpigmentation. I would combine this with topical therapy with hydroquinone +/- Retin-A or other available herbal skin lighteners. There are a variety of mineral based make-ups that can serve as cover-up in the short term as well.
Answered on Jul 1, 2014
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Dr. Lornell Hansen
27 years experience Phlebology
Most of the time this will go away on its own without treatment but sometimes it may require topicals such as those mentioned by Dr. Pollard. Usually the pigmentation issues will go away in less than 3 months. Darker skinned individuals are at increased risk of pigmentation issues following laser resurfacing and I require them to be on Retin-A and hydroquinone 2-6 weeks prior to resurfacing.
Dec 29, 2011
Dr. Frederick Coville
39 years experience Plastic Surgery
Can be prevented: The treatment as stated is with a good regimen of tretinoin and hydroquinone. However, this post-inflammatory hyperpigmentation can be avoided by properly preparing skin prior to any light-based treatments. It may take longer to do it this way, but not haveing the angst you may be going through is worth it. The good news is that this can definitely be improved with good topical products.
Answered on Jan 5, 2019
Dr. Ronald Shelton
37 years experience Dermatology
Laser skin darkening: Post inflammatory hyperpitmentation may need superficial chemical peels or microdermabrasion in addition to lightening creams including hydroquinone, or illume, or elure. Elure is the newest lightening cream and directly affects the pigment cell and is well-liked by most patients as it tends not to irritate the skin. Sunscreen and sun-avoidance is very important. See a dermatologist.
Answered on Mar 28, 2015
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Dr. Seema Patel
27 years experience Holistic Medicine
Depends: Hyperpigmentation after laser resurfacing is a side effect. It can eventually fade but i recommend using hydroquinone 4% 2x/day, Retin-A at night, vitamin c or triluma prescription which has retin-a/hydroquinone and a steroid. Also consider doing a mini melange peel which works great for this.
Answered on Jul 1, 2014

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Dr. Darryl Blinski
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Uneven/tone/postlase: Best to see your treating doc or seek in person derma opinion. Might be permanent, sorry.
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