Treatment of Hyperpigmentation on Skin of Color Using a 650 Microsecond Pulsed 1064nm Laser

Michelle Henry, MD

As published at the 2018 American Society of Dermatologic Surgery Annual Meeting

Hyperpigmentation is a common cosmetic concern in skin of color, with the underlying cause often link to melasma or PIH (Post-Inflammatory Hyperpigmentation) from existing or past presence of conditions such as acne or pseudofolliculitis barbae (PFB). Clearance of hyperpigmentation in skin of color is a challenging application, as many modalities used in aesthetic medicine can exacerbate such conditions rather than clearing them. Subjects of Fitzpatrick Skin Types V-VI were enrolled to be treated using a 650 Microsecond 1064nm laser with a single handpiece (LightPod Neo, Aerolase, Tarrytown, NY). No anesthetics, cooling, or gels were needed. Subjects were treated 3-6 times with a treatment interval of 3-4 weeks. Using fluences ranging from 14-21 J/cm2, the laser energy was applied with a combination of painting techniques and spot treatments.

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Photo Courtesy of Dr. Diedre Nelson-Sands,
The Art of Skin Clinic, Bahamas.

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