Hyperpigmentation after laser hair removal?

Dear Dr. Tareen,I have beige skin and had recently laser hair removal done. It resulted in scabbing and left me with hyperpigmentation aournd my lips and chin. Please tell me what options I have to remove brown patches?

Dear Reader,

That is an unfortunate side effect. There are many things you can do to minimize the discoloration and scarring. I am glad that you wrote to me because the sooner we start, the less discoloration will result!

1. Most importantly, do not pick at the scabs. This will only increase the depth of the skin injury and will result in longer healing time.
2. Keep the skin hydrated (we will talk about which topical options are best) so that it may heal quickly.
3. In terms of topicals, it is important to start a lightening agent immediately. The options include hydroquinone (2% is over the counter and 4% is presciption strength), azelaic acid, or kojic acid.  If the skin is very inflammed, you may opt to mix a small amount of hydrocortisone 1% cream (over the counter) with your lightening agent for 3-5 days (or until the inflammation subsides).
4. Keep the area covered with broad spectrum sunscreen during daylight hours. Even light through the windows can further the discoloration.

Now, lets discuss which factors may have led to your discoloration:
-Your doctor may have not been using the correct laser for ethnic skin tones (for further discussion of which laser is safe, please see the "Laser" section).
-Your doctor may be using the right laser, but may have used too high of energy for your skin tone
-You may have had a slight tan and this may have led to the discoloration

I hope these suggestions help. Please let us know how your are doing :)