Sorry about this LONG post …
PPHP’s (edited statements):
“I’m going to start electrolysis in a week but am terrified of pitting and scars. I’m worried [make-up] will mess with the healing since the pores will be covered. I wanted to try laser hair removal but it will probably make the dark pigment even darker.”
“I’m encountering ingrowns b/c I trim too closely to the skin, my skin is so sensitive that it hyperpigments from the smallest disturbance. HATE IT. I am really freaking out.”
“It’s literally all I think about. I had my trial [electrolysis] today and felt some tugging when the hairs were removed. I’m a little worried that they may not be treated properly. At this point I am doubtful [my hairs] will disappear.”
“I feel so hopeless. I am so devastated and embarrassed of the condition. I used to be very outgoing and happy. Now I just can’t wait to come home and have a good cry.”
Hi pphp,
(Above): I edited a few lines from your recent posts. I did this to illustrate a point I’m going to make in a minute. (BTW, your reaction is not uncommon. We deal with this every day.)
Please understand that I’m super happy to see you posting your concerns. However, I’m always the guy that gets in trouble with “sensitive patients” because I’m abrupt … but, nothing is meant by it. Seriously, I’m trying to help you!
My key point is that your expression of “über-angst” (“freaking out”) is probably a reason your dermatologist offered no help … as far as treatments to hasten the removal of the hyperpigmentation. Hang on; the reason for this is coming. (I know how these guys think.)
First, all the suggestions made by my colleagues are SPOT ON! GO with what they have suggested and don’t equivocate. Remember that hyperpigmentation (PIH) resolves in all cases (yes, it takes time). You have to face the reality of “what you have” and deal with it in a calm and systematic way. All the “emotion” is not going to do one damned thing to help resolve anything.***
Now, back to the DOCTOR!
If he has determined (even incorrectly) that you are going to be a “difficult patient,” he’s not going to recommend anything for you! He KNOWS that the PIH is going to resolve on it’s own anyway (and, he gave you the extreme … 2 years … for this to resolve!). However, if he recommends some cream, let’s say, and you then think that your condition is getting WORSE because of the cream HE PRESCRIBED … Well, HE NOW OWNS YOUR PROBLEM! He’s going to have to deal with you “freaking out” (you own words) for the next two years?
A better choice for him is to do nothing and send you on your way! (And, I’m guessing that’s exactly what he did.)
Listen, you have “mangled” your skin for WAY too long. Stop fiddling with it! Stop micro-managing this and let your electrologist take over!
Make a simple plan; get the hair removed (NOT with ridiculously LOW settings that will do nothing). Your “fear of scars” will result in no permanent hair removal because the electrologist will get fearful too, and will consequently be afraid of using proper current levels. Yes, wear make-up as determined by the healing-stage of your skin, go with whatever seems right to you (“natural” or “medication”) and just hang in there!
Think about this: WHAT else can you do?
Life is NOT without complications and nobody escapes … NOBODY! Your difficulty is not permanent and WILL resolve. Just “go with the program” and stop “freaking out” about it. You post “reads” like you are thankful for the suggestions, but not entirely listening or taking the suggestions. (And let the hairs grow long enough for the electrologist!)
*** Case in point: I’m dealing with a (benign) skin cancer (BCC) on my face at the moment that is going to have to have a skin graft (plastic surgery) in January. I don’t like this one bit, but what the hell can I do about it except DEAL with it and get it done? A few years ago, my “God son” had his leg amputated (cancer) at 19-years-old. My 53-year-old friend Jim just got diagnosed with prostate cancer. You know … this is life!
Of course, now I will get some “heat” for being MEAN to a patient. But am I being mean, or am I telling you “like it is?”