I have had a hyperpigmented upper lip for the last 2 years due to excessive threading & tweezing. I originally thought I had melasma since I developed the pigmentation shortly after starting birth control pills so thought there was nothing I could do about it aside from ending the pill. I took the pill to control PCOS symptoms that I have, excess hair growth as one of them. After another year of waiting the pigmentation was just getting worse so I decided to grow out the hair on my upper lip and realized that the pigmentation is only in the areas where there is hair. I am so mad at myself for not realizing this earlier and doing something about it earlier. I am terrified of this being permanent.
My dermatologist said that if I remove the hair permanently the pigmentation will then eventually clear in about 2 years. He recommended laser hair removal and not electrolysis. However, I have decided that electrolysis would be the best method for me since I have PCOS and have brown skin (I am East Indian). I would greatly appreciate answers to some questions I have. This has put me into a state of depression and I am beginning to become anti-social. I used to be very outgoing and now I miss living a normal life. I have stopped threading 4 months ago, wear sunscreen every day and have stayed out of the sun this year as the sun makes pigmentation worse. I currently trim the hair every morning. I am 26 years old. The hair on the upper lip is very coarse. I am awaiting a specialist appointment to see if something can be done about the high level of testosterone I have due to PCOS. I am skinny so weight loss will not help.
Pigmentation Questions:
Can this pigmentation be permanent or does it resolve? I have permanent pigmented scars on my legs and arms from scrapes and burns, but all of the pigmentation I get from pimples or mosquito bites eventually fade. It seems like when skin is actually replaced from scrapes, the pigmentation is permanent, but if it is from inflammation (like pimples) the pigmentation eventually fades. Are these different types of pigmentation? My dermatologist said the PIH was in the dermis, and I have read PIH in the dermis can be permanent. Has anyone had this problem before and not have it fade? If it does fade, how long can it take? So far I have not noticed a difference.
Electrolysis Questions:
- Since the pigmentation is caused from inflammation from the trauma of plucking, will electrolysis continue the pigmentation, or could it resolve while having electrolysis performed?
- How long after the treatment can I wear makeup? I do have mineral makeup, can I wear it on the same day that electrolysis was performed? My upper lip is so dark that I have to cover it up, but I heard that makeup clogs the pores causing break outs.
- Is the blend method the best method for my condition?
- Would it be possible to only have electrolysis done so the hair is thin to the point where I can shave it once in a while? I would like to do this so the pigmentation has a chance to clear sooner. I don’t think I can go on hiding from the sun for another 4 years or so (I’m assuming electrolysis will take 2 years for me plus at least another 2 years to clear the pigmentation). Or will ending the electrolysis treatments early cause the hair to grow as thick as before?
I am so lost and confused about what to do. I can’t decide if I should continue to trim the hair and wait for the pigmentation to fade before trying electrolysis. My gut is telling me to start electrolysis now, because even if the pigmentation does eventually clear, it may return once I begin electrolysis treatments. My major concern is that the pigmentation will become permanent after so many years of damage to the skin. The hair is so thick that trimming causes tiny bumps that are visible, so I will need permanent results.
PLEASE help. I have never been so depressed in my life. I have found someone certified that performs electrolysis and will book a consultation soon, but still don’t know if I should wait in case there is hope of the pigmentation clearing, or go into electrolysis now and just stay out of the sun for the next 4 years or so…
Thanks in advance.