Hyper- and Hypopigmentation in a Subject with Fitzpatrick VI Skin Phototype: A new Treatment Option

Background: Laser therapies can cause hyper- and hypopigmentation of the skin. There is little evidence in the literature of effective treatments for these types of problems in Fitzpatrick IV-VI skin phototypes. The main aim of this retrospective study is to evaluate the effects of a new therapy combining the application of electromagnetic fields and vacuum on a subject with Fitzpatrick VI skin phototype, presenting an extensive, laser-induced facial dyschromia. The secondary aim is to test the effectiveness of a free imaging software for assessing skin pigmentation. Methods: The level of improvement after the therapy was evaluated, with a 5-point Likert scale, one month after the end of the treatment by both the subject, and the doctor who performed the treatment, and by two blinded dermatologists. With the free software, a three-dimensional reconstruction of the area treated and the evaluation of colour distribution were performed. Results: Both the subject and the doctors involved in the study positively evaluated the effects of the treatment. The image analysis highlighted the homogenization of the skin colour in the treated area. Conclusions: The combination of electromagnetic fields and vacuum for dyschromia treatments appears promising. The new method of assessing melanin levels resulted particularly efficient.