In may 2010, I had an erbium setting 5 done on two scars on my forehead. I'm white and was off accutane for a year and a half. The redness would not go away. After 6 months I chose to do a TCA peel on the spots, which wiped the scars, but the pigmentation is still there. Been like this for 7 months. Its quite red, blood red almost. I don't want to wait 2 years. Will this go away? Will retinoids/HQ work for this? How should it be used exactly? Can someone help me?
Hyperpigmentation After Deep Spot Erbium Treatment - What Can I Do?
Doctor Answers (4)
Hyperpigmentation post erbidium-next step
After 7 months you may want to consider a biopsy to make sure there is no underlining problem. If that's okay a BBL treatment with a ProFractional would be the next step to get an improvement.
Red and brown skin changes after laser
You seem to be describing 2 different effects on your skin from your procedures. One is called postinflammatory hyperpigmentation which is brown skin changes after inflammation from lasers, eczema, acen etc. This is typically treated with bleaching creams and should resolves after 2-4 weeks. The redness should also respond to either a pulsed dye laser or a BBL. If you have scarring in this area other approaches may be needed. You should discuss this with your dermatologist.
Facial redness and V-beam laser
I'm not sure what had been present in terms of scars prior to the Erbium laser. If they were from acne, chicken pox or trauma and you know they were scars, then we can deal wtih how to treat the color. If you're not sure what they were, then you should see a dermatologist to ensure that there is no precancerous condition making them look like scars. You refer to pigment but only then mention redness. Typically chemical peels, in my hands, don't improve facial blood vessels which cause the redness. Avoid retinoids which can make the redness worse. Hydroquinone won't make redness worse. The V-beam laser or IPL can reduce redness. When something doesn't act normally though, it's good advice to start fresh, and make sure everything is OK in your skin at these areas and that something more serious is not hiding. See a board-certified dermatologist.
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