Will my PIH (Post Inflammatory Hyperpigmentation) worsen if I miss a session of Pico laser treatment?

Doctor's Answers 1

Hi,

In general, PIH will gradually fade by itself over time and pigment laser treatment (which includes pico laser treatment) is strictly not essential.

In fact, aggressive pigment laser treatment may in fact worsen the PIH. Hence worsening of pigmentation following pico laser treatment may reflect rebound PIH rather than from missing a session.

It is best that you consult your attending doctor for further assessment and advice.

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Is laser treatment effective for prolonged redness and PIH due to surgical scars?

Hello Always Thank you for your question. Laser is a good method of treating prolonged redness and post inflammatory hyperpigmentation (PIH) from surgical scars. The redness and erythema can treated with a pulsed dye laser while the PIH can be treated with gentle laser toning. Laser treatment can be combined with topical agents such as triluma/ hydroquinone/ retinoid for the best result. Speak to a dermatologist/ aesthetic physician/ plastic surgeon to find out more. Hope this helps!

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What should I do to avoid post-inflammatory hyperpigmentation after laser skin treatments?

Hi,Firstly, one should recognize that different laser treatments are associated with different risk and severity of PIH so it is important that you discuss this with your doctor prior to treatment. PIH after laser treatment may be reduced but not completely avoided. What can be done to reduce the occurrence and severity of post-laser PIH include:1. Pre-treating the skin with skin lightening creams several weeks before the laser treatment and continuing treatment after laser treatment. 2. Avoiding laser treatment if you have a tanned skin as a tanned skin is more prone to developing PIH.

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