Why have laser treatments for my sun spots been ineffective? (photo)

I’m 27, female, and have been diagnosed with solar lentigos and nascent melasma on my cheeks. I have had poor experiences with lasers so far. I tried IPL, and got burnt with no effects on the pigmentation. I tried LASEMD laser twice, but broke out in small bumps. Several sessions of dual yellow had no effect either, until the doctor tried a different setting. The spots faded, however my lentigo became eczematised (photo). I am now very wary of lasers, would you agree that I should lay off these? If so, what else can I do?

Why have laser treatments for my sun spots been ineffective? (photo) 5b4c217d334e770050d4c585
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There are a few reasons why the laser treatments might have been less effective for you. But I believe that the best way forward is to have a comprehensive talk with your doctor to re-evaluate the condition. 

Let me share some common reasons. 

1. Post Laser Skin Care

Sun protection and lightening creams are essential before and after laser treatment. 

This is to prevent post-inflammatory hyperpigmentation (darkening of skin).

To get best results with lasers, a pply sunscreen at least 1-2 times daily.

2. Sub-optimal Laser Settings

This is a reason why patients experience "less than desired" results. 

Inappropriately low settings may lead to sub-optimal results. Excessively high settings possible cause burns, which is what you experienced. 

These can take years to resolve. In certain cases, it is potentially irreversible.

3. Choice of Laser

I completely understand that you are wary of lasers now because of your poor experiences. 

Lasers do give good results when used Correctly and when Correctly combined with other synergistic treatments like creams and sun protection. 

Patients tend to be fixated on the type or brand of Laser. But what is the Doctor's Skill and Experiences in these Lasers.


Based on what I see on your photo, my suggestion for you is to lay off treatments like Lasers / Peels for at least 1-2 months as your lentigo is shown slightly inflammed / red. 

Thereafter, you might want to consider Lasers and Peels for Pigmentation removal. However, please seek advise from a trusted doctor before starting.

Good classes of Lasers for pigmentation removal is the Picosecond Laser or the Q-switched (nano-second) Nd: YAG laser.  

You might also want to consider gentle chemical peels for pigmentation like Jessner's peel. 


Please consult a doctor who is experienced in treating pigmentation for a thorough consult. Hope that this helps!

Warmest regards,

Dr. Justin Boey


Dr Justin Boey
MBBS

Sozo Aesthetic Clinic

1 Raffles Place #05-12/13
One Raffles Place (Shopping Mall)
Singapore 048616


2003 views 16 Jul 2018
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Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

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Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

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