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Author Topic: New here! Very disappointed at World reknowned dermatologists and looking for some honest hope  (Read 5174 times)


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Dear members!

I am very happy I have found this site.

I am so disappointed at dermatologists self proclaimed Gods who take thousands of $$ from us and leave us with more scars and problems.

I just had a consultation for hypopigmentation scars in my face and legs after IPL and this VERY famous Dr prescribed me a treatment that once I google it has a BLACK BOX from the FDA, first side effect SKIN CANCER.... OMG! I couldn't believe it. Thank you internet. Then all the reviews about the Fraxel disasters and I want to just strunggle all of these criminals how can they live in their own skin?

OK dramas aside.

Could you please post some pictures and your story of improvement.  I want to improve my hypopigmented scars in face and legs from IPL. Thank you so much and sorry for the rant!!

Thank you Sarah for this website I feel in a much better mood right now and have some hope. Thanks!!:)


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The photo of hypopigmentation improved by needling is here:

   Intense Pulse Light (IPL) or lasers work on the same principle. It heats up the skin. The tissue absorbs light from the laser and that heats it up.

  Everything in the skin absorbs laser light but some parts (for example dark colored parts) absorb it quicker, especially if specific wavelengths of light are used. Red pigments can be heated best with blue light, etc. Thus you can target hemoglobin in blood and destroy (seal) spider veins by heat. In laser epilation, you target melanin in the hairs and the heat will temporarily weaken the hair bulb. You can target tattoo pigment etc.


You can stimulate collagen production by slightly heating up the skin or use more energy and evaporate a layer of skin or just fractions of skin (Fraxel). The problem is that even if you target a specific part of the skin, the other parts heat up as well and in some unfortunate cases, the heat destroys for example melanocytes (pigment producing cells) as a collateral damage and you end up with hypopigmented spots or with scars and hyperpigmentaion when too much heat was used or the skin overreacted to heat.


  To show you how fine is the line between positive and disastrous results, there were cases in laser epilation, when the treatment actually stimulated growth of thicker and coarser hairs in the area above the lip because to avoid potential burning of this sensitive area, the epilation laser was set too low and instead of paralyzing the hair bulbs by intensive heat, the bulbs were just slightly heated which actually stimulates them. Skin also contains melanin and setting the laser up too high can burn the skin.


  Using enough energy to destroy or stimulate certain target but not too much in order not to burn the skin is very difficult and what works for one person can be too much or not enough for the other.


(BTW needling or dermarolling cannot help with an indentation after IPL or laser treatment if it is caused by receded (destroyed) fat. It can only improve an indentation caused by damaged skin)


  Concerning your question:


  If your hypopigmented spots are flat (no scars) the best is to roll the whole area with a 0.5 mm roller and needle the individual white spots with the single needle. You do not have to needle deep because melanocytes are at the bottom of the epidermis and that is rather shallow.


  You should needle the white patches and also needle a little over the edges of the white patch to facilitate the migration of melanocytes from the surrounding normal skin into the white patch. When you complete several needlings, expose your patches to the sun because melanin is produced as a reaction to UV (provided there are melanocytes cell in the area to produce it).


  Related forum postings:


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I have been left with several hypopigmented areas from laser tattoo removal, spaced years apart. The longest I have had hypo in one area was for 16 years. Over the years,some  spots pigmented on their own but still very obvious since now it looks splotchy. In 2000, I went to a cosmetic tattooist who added pigment to some of the areas to blend it. The color had faded over a few years  since it wasnt placed as deeply as a regular tattoo. But I noticed that the area that was cosmetically tattooed had repigmented on its own. So I had a few other injuries on the hypo areas that repigmented after an injury, for example. I got a spider bite and the pigment returned. I also cut myself with my razor on my leg and the pigment returned once it healed. I have been using a dermaroller and have noticed some small improvement, with color returning gradually in some spots. But have ordered the single needles as I also believe that would me more effective. I think Sarah is correct, but will try and will know for certain when I get them in the mai and begin the processl.

I strongly believe that (at least in my case)  the melanin is not completely destroyed b/c then no melanin would have returned to the area. I like to hope and think it is more dormant than completely destroyed.

My personal  experience has shown me that needling or skin injury causes some inflammation to regain pigment.