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Thank you very much for your inquiry regarding skin lightening that can be achieved with Hydroquinone bleaching cream, Neocutis skin lightening cream, chemical peels, intense pulse light devices (IPL by Palomar) and fractional carbon dioxide lasers from DEKA all have the ability to lighten skin. The later techniques provide improvement in skin texture, skin laxity, & wrinkles.
I have over 16 years of experience performing skin rejuvenation procedures. I completed a residency and fellowship at Stanford University Medical Center and remained as a clinical professor for seven years. I am quadruple board certified including the American Board of Cosmetic Surgery, the American Board of Facial Plastic & Reconstructive Surgery and the American Board of Otolaryngology-Head & Neck Surgery, scoring the highest oral score on the first two board examinations.
My practices are located in Las Vegas NV and known as Beauty by Design, the Center of Excellence in Facial Plastic & Reconstructive Surgery.
Hydroquinone bleaching cream is an excellent initial trial with low risk and high success rates in terms of lightening dark pigment areas. If a large area of skin lightening is desired, Neocutis skin lightening cream may be the best option.
Medical grade chemical peels used in my practice include trichloroacetic acid (TCA) in two strengths, 35% and 50%. Chemical peels are used for treating hyperpigmentation and for overall skin rejuvenation, by improving fine wrinkles and removing older skin.
The DOT (Dermal Optical Thermolysis) fractional CO2 skin resurfacing laser device has been shown in a direct, side by side, comparison in a peer-reviewed scientific study of the top ten fractional lasers to be the best skin resurfacing laser in the world today. (Waibel J, et al. Preliminary Observations on Fractional Ablative Resurfacing Devices: Clinical Impressions. Journal of Drugs in Dermatology 2009;8(5):481-485). The DOT laser result improves your skin’s appearance by reducing and even eliminating wrinkles, lines, areas of pigmentation, age spots (solar elastosis) and even acne scarring. In darker pigmented patients in can cause skin lightening. A test patch can be performed prior to the entire skin are of concern to assess outcomes.
Palomar’s StarLux IPL holds all the patients for IPL technology and can be used to lighten isolate pigmented area. The chemical peel, usually TCA, yields a better chance of producing skin lightening in darker pigmented patients than the CO2 laser.
I have before and after patient photographs at www.drtroell.com for you to review. During your initial free consultation, we will discuss your concerns.