Hyperpigmentation Laser Treatments in Maryland

Who Is a Good Candidate for Hyperpigmentation Laser Treatment?

The PIQO4 is one of the more versatile lasers in our practice because it’s been proven safe and effective across all skin types, including darker tones that historically required more caution with laser energy. 

You may be a strong candidate if you:

• Have PIH that has persisted for more than three to six months despite topical care
• Have dark spots stemming from acne, eczema, a burn or another inflammatory skin event
• Are not currently pregnant or nursing
• Are willing to commit to consistent sun protection before, during and after your treatment series

Patients with active acne should work to get breakouts under control before beginning laser treatment, since new inflammation can trigger fresh pigmentation and work against your results. This is something we discuss openly during your consultation to make sure we agree on an effective, practical plan.

Your Hyperpigmentation Laser Treatment Experience at Profile MD

Here’s what the hyperpigmentation laser experience typically looks like from start to finish:

Your Consultation

One of our experienced physicians will take a close look at your skin, ask about the history of your hyperpigmentation and review any treatments you’ve tried before. We’ll also ask about your skincare routine, sun exposure habits and lifestyle, because those factors directly influence how we approach your treatment plan.

If the PIQO4 is the right fit, we’ll outline how many sessions you’re likely to need and what to pair it with between appointments.

Your Treatment

On the day of your laser session, we’ll clean the treatment area and provide you with protective eyewear. The PIQO4 handpiece is then passed over the treatment areas, where it delivers rapid pulses of light energy that fragment melanin deposits beneath the skin’s surface. Most patients describe the sensation as a series of quick snaps that are noticeable but very manageable. Sessions are typically brief, usually 15-30 minutes, depending on the size of the area being treated.

Aftercare, Recovery and Results

Recovery from PIQO4 treatments is straightforward. Most patients return to their regular schedule the same day. For the first several days post-treatment, we recommend:

• Keeping the area clean with a gentle, fragrance-free cleanser
• Applying a calming, hydrating moisturizer to support healing
• Wearing SPF 30 or higher sunscreen every single day, rain or shine
• Avoiding direct sun exposure and heat (saunas, hot yoga) for at least a week

You may notice that treated dark spots appear slightly darker in the days immediately following your session before they begin to shed and fade. This is a normal and expected part of the process. Your skin is clearing the fragmented pigment out from the inside. Don’t pick at the area; your skin needs to do the work.

Results build progressively over your treatment series. Most patients see meaningful improvement after two to three sessions, though more stubborn or deeply set pigmentation may require additional visits. Between sessions, your prescribed TXA regimen helps suppress new melanin production so each laser treatment can build on the last.