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Pigmentation after Dermabrasion

dermabrasion hyperpigmentation

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#1 obi

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Posted 12 May 2005 - 05:22 PM


I had my dermabrasion with Dr Yarborough 2 months ago. My skin texture is much better than it used to be and the redness is almost gone. However, since i have mediteranean skin type when i am under strong white light i can tell that my face is sligthly lighter than the rest of my body. I can also detect the dermabrasion line ton the top of my forehead (i never had a line on the chin smile.gif.

Now, i am thinking that i should expect this since the new skin has yet to see any sun without a layer of sunscreen on top of it. I hope that after 4 months is will return to my original color. However, i have not seen any posts from anybody with similar skin type and/or a similar experience.

I am really worried wheter or not the pigmenattion will fully return. I was expecting to get hyperpigmentation but that never happened which makes me a very very lucky guy for my skin color type.
if only i knew if the color would fully return...

what do u guys think?



#2 kooky

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Posted 12 May 2005 - 06:47 PM

For olive skin, I'd be surprised if it comes back in 4 months. You just need to be patient, it can take 6 months or more for your skin type.


#3 obi

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Posted 12 May 2005 - 06:58 PM

thnx for the response, i really appreciate it.
i thought so too. it would make no sense for new skin to match right away with the surrounding skin.. especially since i used to be out in the sun all day long before dermabrasion which has given me some sort of a "permament" tan cool.gif

#4 sword

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    Dermabrasion = redness+ horrible demarcation + pigment loss

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Posted 22 June 2005 - 06:06 PM

obi,

Its been a month and a half, is your pigmentation getting better?

I am type IV asian, 4 months and 1 week post derma.

The skin is still somewhat red, but it also seem many shades lighter than original. If I did not have the redness now, I would look like I am wearing a white mask with a tanned neck. I have not had much exposure to the sun yet since the derma, I wonder if the sun will help in the future.

Am I screwed? Any type IV people that has healed from dermabrasion, did you go through this stage? How did your color improve? I am talking about turning from white back to your original color, not about reduction of redness.

Thanks,
Sword



#5 lowfreq

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Posted 22 June 2005 - 10:04 PM

not to scare you guys but hypopigmentation can result from dermabrasion... I read this somewhere and I have experienced it, not from dermabrasion, but from scrubbing my own face with a harsh-like texture cloth when I was young.. you can see part of my cheeks are a different color than the rest of my skin.. and I am type IV.. the hypopigmention never went away sad.gif

#6 Dan T.

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Posted 22 June 2005 - 10:56 PM

Hi -

I have olive complected skin and have had two dermabraions, one in 1991 and one in 1993. I had extremely bad scarring from cystic acne. The complete pigmentation did not come back to its former darkness but seems to be a bit lighter. It is much more noticeable if I wear as sunblock all of the time. So I don't wear a sun block as much and give my skin a chance to darken a bit.

I would follow the doctors recommendation while you are healing. After a year or so after my last dermabrasion, I did go ahead and let my face get a bit of sun from time to time to trigger some darkening. However, it never returned to its original darkness. In my case, the improvement to the levelness of the skin was worth the loss of some of my pigmentation.

I'm not a doctor but that is what I did.

Take Care -

Dan

#7 sword

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Posted 23 June 2005 - 02:38 PM

Thanks Dan.

Do you recall how long did it take you to loose the redness?

How much pigmentation do you think you have lost (percentage wise)?

Even though your skin was lighter than pre derma, how did it transition from pinkness to your current skin tone?

Does the sun darken your skin at all? Or does your skin not respond to it anymore?

Thanks,
Sword



QUOTE(Dan T. @ Jun 23 2005, 12:56 AM)
Hi -

I have olive complected skin and have had two dermabraions, one in 1991 and one in 1993.  I had extremely bad scarring from cystic acne.  The complete pigmentation did not come back to its former darkness but seems to be a bit lighter.  It is much more noticeable if I wear as sunblock all of the time.  So I don't wear a sun block as much and give my skin a chance to darken a bit. 

I would follow the doctors recommendation while you are healing.    After a year or so after my last dermabrasion, I did go ahead and let my face get a bit of sun from time to time to trigger some darkening.  However, it never returned to its original darkness.  In my case, the improvement to the levelness of the skin was worth the loss of some of my pigmentation. 

I'm not a doctor but that is what I did.

Take Care -

Dan

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#8 Dan T.

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Posted 27 June 2005 - 08:33 AM

Hey Sword -

The redness persisted for a couple of months with some swelling. I had both done in the winter so if someone asked, I just told them that I had gotten sunburned skiing in Colorado. That took care of the questions. If I were do do one in the summer, I would just say that I had been in the Bahamas or some other such place. I don't like to lie but the inevitable questions about what is dermabrasion, etc. would get me into a 5 minute conversation. I also would tell people that I had the laser done - rather than dermabrasion because everyone is familiar with laser treatment and dermabrasion is much less well know.

I probably lost about 30% of my pigmentation but it does help to get some sun and keep the face darkened a bit. I do get some response from sun but it is not as drastic. As a kid, I was very dark toned in the summer since I live in the southwest U.S. and those were the days before sunblock. My strategy has been to get a little sun on the face and wear block if I am going to be out in the sun for extened periods of time, i.e. working on the yard or out at the lake. So - yes the skin does respond but not quite as much. As I mentioned before, my scarring was severe and the benefit that I got outweighted the loss of pigmentation.

Also, my whole face was dermabraided so it does not look patchy. My face is just a little lighter.

Let me know if you have any more questions.


Dan






QUOTE(sword @ Jun 23 2005, 01:38 PM)
Thanks Dan.

Do you recall how long did it take you to loose the redness?

How much pigmentation do you think you have lost (percentage wise)?

Even though your skin was lighter than pre derma, how did it transition from pinkness to your current skin tone?

Does the sun darken your skin at all?  Or does your skin not respond to it anymore?

Thanks,
Sword



QUOTE(Dan T. @ Jun 23 2005, 12:56 AM)
Hi -

I have olive complected skin and have had two dermabraions, one in 1991 and one in 1993.   I had extremely bad scarring from cystic acne.  The complete pigmentation did not come back to its former darkness but seems to be a bit lighter.  It is much more noticeable if I wear as sunblock all of the time.  So I don't wear a sun block as much and give my skin a chance to darken a bit.  

I would follow the doctors recommendation while you are healing.    After a year or so after my last dermabrasion, I did go ahead and let my face get a bit of sun from time to time to trigger some darkening.  However, it never returned to its original darkness.  In my case, the improvement to the levelness of the skin was worth the loss of some of my pigmentation. 

I'm not a doctor but that is what I did.

Take Care -

Dan

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#9 obi

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Posted 27 June 2005 - 02:03 PM


TWO SOLUTIONS....

i just completed my 6 hour research on pigmentation restoration. Pigment is lost after dermabrasion because of two reasons:
1. melanocytes are killed on the basal layer is the derma is too deep
2. and/or melanocytes become a little deisfunctional producing less pigment


pigmentation restoration is actually possible. Most of it is aimed at vitiligo patients which does not qualify for us (its for very extreme cases and it involves melanocyte transplantation from other areas of your body while dermabrading your skin again). After seeing before and after pics and studying the methods i decided that it is not the proper treatment for hypopigmented patients frmo skin resurfacing. (http://www.noblevitiligoclinic.com/photographs.htm)

However, i was able to find two treatment methods that qualify for us and have permament results:

http://www.cosmetics.../archive/an~39/
doctor can be found at: http://www.laserskin...s_cosmetic.html


and


http://www.blackwell...journalCode=dsu



i would not first wait for at least 9 months after derm before trying these procedures.


#10 alliask

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Posted 27 June 2005 - 03:09 PM

I have white spots (hypopigmentation) all over my back because I used a at home microdermabrasian kit on it two years ago. Two years later, and I still haven't gained the pigment back and the spots make me really self conscious. When I go to the beach, I keep my shirt on.

I noticed that the white spots on my back are as light as the skin on my ass. I suppose that if I don't expose my back to the sun for years, the rest of my back that is tanned will fade back to a color as light as my ass and the white spots will even out.

Do you think this is possible? Or is the skin on my ass only that light because it has NEVER been exposed to the sun? Do tans eventually fade completely so that the skin returns to its natural, unexposed, undamaged color (e.g. the color of your ass).

#11 obi

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Posted 27 June 2005 - 06:28 PM

sounds like you've damaged your melanocytes in your back, i didn't know that microderm could do that.
i am not sure if your back would ever return to its original white color but even if it did, if you took your shirt off to go to the beach you'd get a tan pretty fast and the white spots would reappear (aka, letting your back go white would not permamently blend the hypopigmented areas) which makes the idea kind of useless.
however, i don't think you have killed your melanocytes since microderm is not invasive. you should try some laser therapies for vitiligo that could potentially reactivate them.



#12 AmoALaura

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Posted 27 June 2005 - 07:01 PM

QUOTE(alliask @ Jun 27 2005, 10:09 PM)
I noticed that the white spots on my back are as light as the skin on my ass.  I suppose that if I don't expose my back to the sun for years, the rest of my back that is tanned will fade back to a color as light as my ass and the white spots will even out.

Do you think this is possible?  Or is the skin on my ass only that light because it has NEVER been exposed to the sun?  Do tans eventually fade completely so that the skin returns to its natural, unexposed, undamaged color (e.g. the color of your ass).

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I have a "southern european" skin, so when i get tan my skin can get very dark, but if i don't tan i look very pale. I haven't taken sunbaths for years now and the skin on my ass looks now exactly like the skin on my legs or my back.

You could also try to carefully tan the white areas on your back.

#13 John Syndey

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Posted 27 June 2005 - 08:45 PM

Hi Obi,

I too have Mediterranean Skin and have had two dermabrasions with Doctor Y. The first one took about 4.5 months to get almost back to normal colour (like 95% -remaining redness only noticeable to me and under the lights) and then a further 1.5 months to get back to 100%. He did tell me we went very deep. From the second it took me about 3months to get to 95%. I am now five months out am am now 100% back to normal colour from the second. The second one was far easier to heal from than the first.

I wouldn't worry just think you need more time. The thing with wire brush dermabrasion is that it does take a while to return to normal, but for me, the results are worth it --- the hardest part is not worrying about it during the healing time. FYI I tan very well in the summer


#14 alliask

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Posted 27 June 2005 - 10:26 PM

QUOTE(obi @ Jun 27 2005, 05:28 PM)
sounds like you've damaged your melanocytes in your back, i didn't know that microderm could do that.
i am not sure if your back would ever return to its original white color but even if it did, if you took your shirt off to go to the beach you'd get a tan pretty fast and the white spots would reappear (aka, letting your back go white would not permamently blend the hypopigmented areas) which makes the idea kind of useless.
however, i don't think you have killed your melanocytes since microderm is not invasive. you should try some laser therapies for vitiligo that could potentially reactivate them.

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are there really treatments that can "reactivate" the melanocytes? i heard there aren't. i was thinking of keeping the skin on my back as white as my ass for the rest of my life... i'll put on heavy layers of sunblock whenever i'm out in the sun and when i go to the beach. if there's no way i can get the white spots to repigment, that's the only thing i can do.

i did the microderm pretty harshly because i was stupid enough to overdo it. i irritated my back. it got all red and itchy for a few days and then it peeled a lot.

i'm still trying to forgive myself for screwing up my back like that sad.gif
i didnt even have bad scars on my back, i just had a few hyperpigmented spots on my back from acne and i'd decided microdermasian would get rid of it. sigh.

#15 alliask

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Posted 27 June 2005 - 10:31 PM

e3

#16 sword

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Posted 29 June 2005 - 07:21 PM

Dan,

Thank so much for answering my questions in details. My concern is how the lighter face would look on my darker neck, and in time, with the scalp when the inevitable hair loss occur.

Since you had 2 full face dermabrasions so long ago, did demabraded and non-dermabraded skin blend over time? i.e. no line effect? Do people notice your lighter face at all?

Thanks,
Sword

QUOTE(Dan T. @ Jun 27 2005, 10:33 AM)
Hey Sword -

The redness persisted for a couple of months with some swelling.  I had both done in the winter so if someone asked, I just told them that I had gotten sunburned skiing in Colorado.  That took care of the questions.  If I were do do one in the summer, I would just say that I had been in the Bahamas or some other such place.  I don't like to lie but the inevitable questions about what is dermabrasion, etc. would get me into a 5 minute conversation.  I also would tell people that I had the laser done - rather than dermabrasion because everyone is familiar with laser treatment and dermabrasion is much less well know.

I probably lost about 30% of my pigmentation but it does help to get some sun and keep the face darkened a bit.  I do get some response from sun but it is not as drastic.  As a kid, I was very dark toned in the summer since I live in the southwest U.S. and those were the days before sunblock.  My strategy has been to get a little sun on the face and wear block if I am going to be out in the sun for extened periods of time, i.e. working on the yard or out at the lake.  So - yes the skin does respond but not quite as much.  As I mentioned before, my scarring was severe and the benefit that I got outweighted the loss of pigmentation.

Also, my whole face was dermabraided so it does not look patchy.  My face is just a little lighter.

Let me know if you have any more questions.


Dan



#17 obi

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Posted 01 July 2005 - 10:32 AM


Dan, i would also like to add to sword's questions... how long did it take after dermabrasion for the color to reach its peak point and stop coming back?

thnx in advance

#18 Dan T.

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Posted 02 July 2005 - 09:05 AM

Hi Obi and Sword -

The doctors went along my jaw line and there is a circular line below my hairline that shows where the dermabrasion went to. I have a mediteranian skin type that darkens pretty easily in the summer. The pinkness from the dermabrasion looked like a sunburn for about 2 months then began to dissapate. My skin had some swelling and puffiness for about 2 months also. I had a couple of questions from others about the redness and swelling but to be quite honest, no one seemed to care much about it or comment much.

I wore a sunscreen constantly for about a year and I could tell in photos that my face was noticeably lighter than my neck and other areas. However, this could occur anytime you use sunscreen on one area and not another. The screened skin will just not darken as much. I then began to wear sunblock if I was going to mow the yard or otherwise be out for awhile but did not wear it generally during the work days, going to and from the car, etc. Allowing a little bit of sun during the day without a block gives me a little more color in the facial skin after it was healed and helps to minimize the color difference. During the winter, there is not much difference because both my neck and body and face get less sun so I look lighter all over.

The line below the hairline is barely noticeable and because the rest was done along the jaw line, it blends pretty well. I had a friend that had spot dermabrasions done about 20 years ago and his skin was lighter than mine. During the summer he would use an application of a sunless tanning solution every few days and honestly, I could not tell that he had any lighter areas. It all blended in just fine. Because so many people are now concerned about the effects of the sun on the skin, there are many new types of sunless tanners that are coming out. They seem to be much better these days. Back then, the sunless technology was not good and you had about three or four choices. Now all of the major companies have a product.

Have you talked to your drs. about hypopigmentation? What did they say? I have just managed mine over the years and don't think much about it.

If you have any more questions, let me know.

Dan T.




QUOTE(obi @ Jul 1 2005, 09:32 AM)
Dan, i would also like to add to sword's questions... how long did it take after dermabrasion for the color to reach its peak point and stop coming back?

thnx in advance

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#19 sword

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    Dermabrasion = redness+ horrible demarcation + pigment loss

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Posted 02 July 2005 - 12:34 PM

Thanks Dan. My problem is a lot more serious than yours and obi's. I can deal with 30% pigment loss, but it appears most of my new skin has very little to no pigment at all, except for the dark hyperpigmented area. It is more like an 70% loss for me. The lightness is most apparent under strong light.

#20 obi

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Posted 02 July 2005 - 11:12 PM



Thank you Dan for your reply.

what do you guys think about this product..?


http://www.dermabest...px?type=1&pID=1


it seems like its promoting natural melanocyte restoration.