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Good morning, about 4 years ago I had a treatment for a small hyperpeimented spot on my face. The spot lightened, but unfortunately appeared a white circle around it (one month's treatment with 4% hydroquinone and 0,01 hydrocortison in base cream). This year I tried a treatment with excimer-laser, but the circle remains. What would you suggest? There is really no treatment - laser, cream or other - in order to get rid of this inesthetism? Thank you very much.
Depigmentation following ablation for brown spots/ melasma is a difficult issue. Sometimes the skin will re-pigment with time. At other times it can be left permanently whitened. May I suggest you consider a consult with one of the many members of the ASAPS. They are experts at skin care. Best,
Gary R Culbertson, MD, FACS
You should consult with a board certified plastic surgeon and/or member of ASAPS. Hypopigmentation is difficult to correct. You may consider permanent make-up (tattooing) to add pigmentation back to help it blend into the surrounding skin. www.drtoddcase.com