Does IPL cause hypopigmentation, and what can be done to treat it?

Doctor's Answers 3

Intense pulsed light is a popular hair removal treatment that is usually safe when used by an experienced practitioner.

However, there are documented risks for IPL including hypopigmentation (white spots) and hyperpigmentation (dark spots).

Your white spots might be a case of Hypopigmentation. My suggestion for the treatment of your possible hypopigmentation:

1. Avoid the possible trigger - IPL

2. Consult a qualified doctor for a formal diagnosis

3. Topical creams to stimulate pigmentation recovery

Hypopigmentation is a challenging condition to treat. Please seek advice from an expert doctor.

As Dr Boey has explained, IPL can cause complications such as hyper and hypopigmentation. No aesthetic procedure including IPL is 100% risk-free but a combination of:

1) Practitioner's experience

2) Appropriate post-procedure care

3) Medical-Grade aesthetic machines carried by clinics can minimize the risks.

Unfortunately, there is no efficacious medical treatment for hypopigmentation to date, and there is a risk of permanence. Hypopigmentation may take up to 6-12 months to resolve.

I would advise:

1) Avoiding topicals that can cause skin irritation such as chemicals (e.g AHAs) and physical (exfoliators)

2) Use a broad spectrum SPF 50 + sunscreen on a daily basis

You may wish to seek further medical advice from a medical doctor.

It is likely that the IPL is correlated with the hypo pigmentation spots.

Do consider stopping the IPL for now and give the hypo pigmented lesions a chance to improve.

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What are the causes and best treatment for brown facial pigmentation in Singapore?

Hi The most important part of treatment pigmentation is first a correct diagnosis by an experienced doctor. Freckles are mainly due to genetic predisposition and though it is easily removed, will certainly return when your skin is exposed to the sun so sunblock and sun avoidance is so important. Lentigens or sunspots occur in sun exposed area of face and body and is due to photodamaged of underlying skin. Under special photograph filters, once can easily notice a vascular abnormality under the pigments.

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Are there any risks of hypopigmentation after Q-switched laser to remove a birthmark?

It does look like a bit of hypopigmentation and you are correct that it is difficult to treat (most of the time we will have to rely on our own cells to re-pigmentate the area unless you explore other medical repigmentation options). I would suggest laying off the “gentler” laser treatment that you have every 2 weeks for the hypopigmented areas. That being said, the “stronger” laser treatment that you have every 6 weeks should be able to treat the Naevus of Ota (to avoid the hypopigmented areas). Usually, treatment of Naevus of Ota does not leave a white patch.

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