What should you know about laser skin resurfacing hyperpigmentation?

Hyperpigmentation has different causes, including sun exposure, inflammation, and melasma. Laser energy can remove or alter pigment in selected layers of skin and may also improve rough texture. However, heat and healing inflammation can stimulate more pigment in some people, especially when the original problem is melasma or a mark left after irritation. A clinician should identify the pattern and check for an untreated trigger before choosing a device.

A CO2 laser is a deeper resurfacing option, while a thulium laser may be used for selected superficial pigment concerns. Neither option guarantees an even tone, and a chemical peel may be considered instead or as part of a broader plan.

Share your history of dark marks, melasma, recent tanning, active dermatitis, cold sores, and current skincare or medicines. Follow instructions about stopping irritating products. During recovery, cleanse gently, moisturise as directed, do not scratch or peel flakes, and protect the area from sunlight. Report any worsening discoloration early so treatment can be reviewed rather than adding more irritants.

Contact the clinic if pain, warmth, swelling, or redness is increasing, if blisters or pus develop, or if the treated area forms thick crusts. Arrange review for pigment that spreads quickly or becomes markedly darker. Urgent care is appropriate for breathing difficulty or sudden swelling of the face or throat.

Ask what type of pigment is being treated, why this laser is being proposed, how your skin tone and pigment history affect settings, and what plan will reduce the chance of recurrence. Clarify sun protection and the exact point at which to restart active skincare.