Laser resurfacing can provide improvement in skin texture and tone. However, when one has more darkly pigmented skin, there can be some color changes. Usually these are transient. When they do occur, various topical creams and lotions can be utilized to expedite their resolution. However, close follow-up is often necessary. Many physicians feel that “pre-treating” with various types of creams and lotions such as Retin-A and hydroquinones can help to decrease what is termed post-inflammatory hyperpigmentation. When we do the surgery, we usually request that our patients apply Vaseline to the face as a moist dressing technique and shower three to four times a day for the first seven days. For the next one or two months, they need to be careful regarding sun exposure. Increased sun exposure at this time can result in an increased chance for pigmentation changes. For that reason, the use of sunscreen is very important. When the pigmentation changes do occur, makeup can usually easily cover these areas. However, it is always best to minimize their occurrence with appropriate postoperative care.
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