13 doctors weighed in:
How do I cover up uneven skin pigmentation after laser resurfacing?
13 doctors weighed in

Dr. Jeffrey Pollard
ENT - Head & Neck Surgery
5 doctors agree
In brief: 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.

In brief: 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.
Dr. Jeffrey Pollard
Dr. Jeffrey Pollard
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1 comment
Dr. Lornell Hansen
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.
Dr. Ronald Shelton
Dermatology
1 doctor agrees
In brief: 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.

In brief: 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.
Dr. Ronald Shelton
Dr. Ronald Shelton
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Dr. Seema Patel
Holistic Medicine
In brief: 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.

In brief: 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.
Dr. Seema Patel
Dr. Seema Patel
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Dr. Frederick Coville
Surgery - Plastics
In brief: 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.

In brief: 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.
Dr. Frederick Coville
Dr. Frederick Coville
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Dr. H. William Song
Aesthetic Medicine
In brief: 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.

In brief: 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.
Dr. H. William Song
Dr. H. William Song
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Dr. David F. Jaffe
Dermatology
In brief: Topical therapy
Hydroquinones and retinoids are most useful.
Both can be prescribed, individually or in combination, by your dermatologist.

In brief: Topical therapy
Hydroquinones and retinoids are most useful.
Both can be prescribed, individually or in combination, by your dermatologist.
Dr. David F. Jaffe
Dr. David F. Jaffe
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