Has anyone used Fraxel or Palomar Fractional for the treatment of hypopigmentation? If so, at what settings?

we have just started using a Fractional erbium, (palomar starlux) so we are just getting used to what it can do.
It is very painful: does anyone have advice about the best pain relief/ topical anaesthetic to use?
Our colleague who runs a clinic close by, and sees mainly Asian clients (=Chinese) and he says he uses the Fractional erbium mostly for hyperpigmentation in these clients and always has it set at 60/15.
He says he uses some midazolam and topical local

I don't think you could use any laser for hypopigmentation. Your targets are water, hemoglobin, and melanin right? Maybe somebody knows something I dont?

I use the Fraxel and you may see some slight improvement in hypopigmentation. There was a recent study in the ASLMS journal (I think it was ASLMS) that did show improvement in hypopigmentation using the Fraxel. I assume that fractional erbium would likely do the same.

I recently used the Fraxel on a depressed and hypopigmented scar about 3cm by 3cm caused form a cyst about 20yrs ago. The scar became more flush with the surrounding skin and about 2 to 3mm of the edges seemed to repigment. The central portion seemed to gain a little color as well.

Hi LH,

I have a Fraxel, would you be interested in an email support group where we exchange Fraxel experiences and opinions?

George