Our expert says:
Hi Erica, thank you for the question.
Your first approach isn a good SPF (50 or higher and should contain zinc oxide and/or titanium dioxide) applied several times daily. Furthermore one should practice sun avoidance as much as possible (hats, umbrella, etc.)
The Palomar and Fraxel systems are definitely indicated for pigment removal but your best approach would be to consult a dermatologist or an aesthetic medical practitioner who can examine the pigmentation before deciding on the best technology based treatment options.
Your family physician can prescribe a topical product such as hydroquinone but this will increase the skin’s sensitivity and may produce dermatitis like reactions so one will need to add a steroid to help reduce these effects. While on this topical regime no sun exposure is allowed and with us going into summer one needs to be extremely careful and vigilant.
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