San Diego Laser Peel doctors
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William Groff, DO
San Diego Dermatologist
9339 Genesee Ave Suite 300, San Diego |
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Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
9339 Genesee Avenue Suite 125, San Diego |
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Paul E. Chasan, MD
San Diego Plastic Surgeon
1431 Camino Del Mar , Del Mar |
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Roy A. David, MD
San Diego Facial Plastic Surgeon
3252 Holiday Court Suite 206, La Jolla |
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Richard Fitzpatrick, MD
San Diego Dermatologic Surgeon
9339 Genesee Ave Suite 300, San Diego |
Recent Answers
I am a 42-year-old Asian woman. I had full facial Micro Laser Peel (20 micron depth) and 20% ProFractional Laser Resurfacing (200 micron depth) 16 days ago. The day of the procedure, I had a lot of bleeding all over my face and could see very distinct parallel longitudinal red bands (3 on each side) running down my cheeks, as if some of my skin had received far more exposure to the profractional laser than other parts.Beginning a week after treatment I started to get a hyperpigmentation reaction exactly corresponding to the vertical bands on my cheeks. There were no bands on my forehead or chin following the procedure, and I have not had any hyperpigmentation occur on those areas either. Can anyone explain what is going on?
You are exactly right. It sounds like there was overlap of the treatment area and you may have been treated with densities and high as 30-40% in these hyperpigmented areas. We published a study about 1 year ago looking at fractional treatments in Asian skin and our conclusion was that the risk of hyperpigmentation was higher with increased density. Most likely, this will be temporary and could last a few weeks to a few months. This is why it is important to have your treatment done by a physician that is very experienced in these procedures. There are topical treatments that can help resolve this more quickly, and you should discuss these options with your doctor. Sunblock with zinc oxide and/or titanium is very important everyday to help resolve this and keep this from persisting longer. Take care, Dr. Groff
