Back Hyperpigmentation Treatment Before & After | Pico Laser for Body Pigmentation

Hyperpigmentation across the upper back and shoulders had built up over a decade — sun damage layered with post-acne marks. Topical fading creams hadn't moved it.

Upper back assessment showed diffuse hyperpigmentation with a mixed pattern of confluent sun damage at the upper shoulders and discrete post-inflammatory marks across the central back. The skin was Fitzpatrick type III to IV. The pigment depth was a combination of epidermal and dermal melanin based on Wood's lamp examination. The pattern reflected cumulative ultraviolet exposure layered on healed acneiform inflammation. The plan was Pico laser at wavelengths matched to both melanin depths.

Pico laser was performed in alternating wavelength settings to address both epidermal and dermal pigment. Body skin requires longer treatment intervals than facial skin because turnover is slower. Pre-treatment hydroquinone and strict sun protection were enforced to prevent pigmentation rebound. In the after image, results of this kind are typically observed over several months as the skin clears. The back hyperpigmentation has substantially cleared. The skin tone reads as more uniform across the upper back and shoulders. Body pigmentation requires longer treatment cycles than facial pigmentation. Patient compliance with sun protection determines the durability of results more than the laser does.

Individual results vary. The outcome shown reflects this patient's specific anatomy, health history, and treatment plan. Results shown are not guaranteed and are not necessarily typical. Photos used with patient consent.