Excess Swelling After Photofacial? (photo)

The posted photo demonstrates a superficial infection that needs medical attention. Seek ONLY in person help. You may need a course of antibiotics or other medications. Cause most likely a breakdown in sterile technique. 

Dear writer, Excessive swelling after IPL treatment is not commonly seen to the extent that your picture shows. However, some patients may experience some redness and puffiness for a few days, particularly if their facial blood vessels were very prominent prior to the IPL. Thank you for providing us a picture because it allows us to identify the type of swelling that you have as one that may require further attention from your provider and likely oral antibiotic therapy. The IPL treatment is not a sterile procedure, yet it's not typically complicated by skin infection. Your probable skin infection may have been acquired during, but likely also after the procedure. With proper antibiotic therapy and local skin care this should be completely resolved. Please consult your provider. Best to you, Dr. Bowes

Some minor edema (swelling) can be seen after intense IPL. However, what you are showing in the picture seems to be more than just what happens in a treatment. I'm unsure if you've had IPL before or not...but I'm thinking you might have had a significant reaction to the numbing cream pre-procedure, or another product applied after? This edema isn't consistent with IPL treatment alone, so I would advise you to see a physician for an evaluation and possible antibiotic.