Question
Hi,
Most likely, you have post-inflammatory hyperpigmentation arising from your underlying medical condition.
It is most important that your underlying medical condition be well controlled to reduce the formation of more pigmentation.
Lightening creams and pigment laser may offer mild to modest lightening of existing pigmentation. Camouflage makeup will be useful in improving the skin appearance for special occasions.
Hope this helps!
Acne scars and uneven skin texture can be improved using Mosaic or Fraxel whereas pigmentation is best treated using either Q-switched ND:Yag lasers or the newer Picosecond lasers. Mosaic vs Fraxel: Similarities Both lasers use fractional technology. The laser beams create heated columns of “thermal damage” throughout the treated tissue. This results in alteration of the collagen structure in the skin’s deeper layers which creates conditions that are ideal for collagen regeneration and increased elasticity. This results in shallower scars.
Pemphigus vulgaris is an autoimmune skin condition where the skin produces antibody against components of the skin (desmogleins) resulting in easy blistering of the skin. This condition usually requires a long period of oral immunosuppressive medications. If you are considering pregancy, it is best to be at a time when the disease is stable and under control as you do not want to escalate treatment while you are pregnant. You have to inform your dermatologist of your intention to conceive.
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